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ERIC W MAK MD
NPI 1710618947
Student in an Organized Health Care Education/Training Program in Fairhope, AL

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
188 HOSPITAL DR STE 402, FAIRHOPE, AL 36532(251) 279-1245(251) 279-1247 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric W Mak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC W MAK MD (NPI 1710618947) is an individual student in an organized health care education/training program in Fairhope, Alabama and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710618947
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC W MAKCredential: MD
Location Address188 HOSPITAL DR STE 402Fairhope, AL 36532-2018
Mailing Address188 Hospital Dr Ste 402Fairhope, AL 36532-2018
Phone(251) 279-1245
Fax(251) 279-1247
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1710618947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
188 HOSPITAL DR STE 402, Fairhope, AL 36532
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Other Identifiers 1

Other000000Non Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric W Mak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214433531
PECOS Enrollment IDI20251003003735
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eric Mak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1,969 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIBAN ABDIKARIM
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1245
ALEXANDER JAMES HANS DO
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1245
BENTLEY MBEKWA AKOKO MD
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1245
IDONGESIT AKPAN MD
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1245
VIJAYA PRADEEP GANIPINENI MD
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1245
IYARE IDIAKHOA MD
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1245
UNWAM JUMBO MD
Student in an Organized Health Care Education/Training Program
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 279-1529
GULF HEALTH HOSPITALS, INC.
Internal Medicine
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532
Baldwin County (251) 435-5037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Mak's NPI number?

The NPI number for Eric Mak is 1710618947. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Eric Mak located?

Eric Mak practices at 188 Hospital Dr Ste 402, Fairhope, AL 36532. The listed phone number is (251) 279-1245.

What is Eric Mak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eric Mak enrolled in Medicare?

Yes. Eric Mak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eric Mak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Mak reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Mak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Mak was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.