MARC NATHAN DUBICK M.D.
NPI 1992705826
Specialist in Charleston, SC

Active since July 21, 2005PECOS Enrolled
835 DUCK HAWK RETREAT, CHARLESTON, SC 29412(843) 697-1671(844) 406-4501 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marc Nathan Dubick M.d. NPPES

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

MARC NATHAN DUBICK M.D. (NPI 1992705826) is an individual specialist in Charleston, South Carolina, licensed in South Carolina (SC20700) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992705826
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARC NATHAN DUBICKCredential: M.D.
Location Address835 DUCK HAWK RETREATCharleston, SC 29412
Mailing Address835 Duck Hawk RetreatCharleston, SC 29412 · (843) 697-1671 · Fax (844) 406-4501
Fax(844) 406-4501
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateNovember 14, 2018
NPI 1992705826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in SC · SC20700
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

835 DUCK HAWK RETREAT, Charleston, SC 29412

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Marc Nathan Dubick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2026.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Specialist
835 DUCK HAWK RETREAT
CHARLESTON, SC 29412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992705826, enumerated as an "individual" on July 21, 2005.

The provider is located at 835 DUCK HAWK RETREAT CHARLESTON, SC 29412 and the phone number is (843) 697-1671.

Specialist with taxonomy code 174400000X.