Mark Charles Conway, LAC in Peoria, AZ - Medicare Counselor Provider

Mark Charles Conway, LAC is a medicare enrolled "Counselor" provider in Peoria, Arizona. His current practice location is 8466 W Peoria Ave Ste 6, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 497-3836.

Mark Charles Conway is licensed to practice in Arizona (license number LAC-17511) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235791542.

Contact Information

	Mark Charles Conway, LAC
	8466 W Peoria Ave Ste 6, Peoria, AZ 85345-6548
	(602) 497-3836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Charles Conway
Gender	Male
Speciality	Counselor
Location	8466 W Peoria Ave Ste 6, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235791542
Provider Enumeration Date: 07/08/2019
Last Update Date: 07/08/2019

Medicare PECOS Information:

PECOS PAC ID: 2961854831
Enrollment ID: I20240116002817

Medical Identifiers

Medical identifiers for Mark Charles Conway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235791542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LAC-17511 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Charles Conway allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Charles Conway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mark Charles Conway, LAC 7455 W Greer Ave, Peoria, AZ 85345-1104 Ph: (623) 418-8407	Mark Charles Conway, LAC 8466 W Peoria Ave Ste 6, Peoria, AZ 85345-6548 Ph: (602) 497-3836

Reviews and Comments

Counselor in Peoria, AZ

Traci Renee Manry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15396 N 83rd Ave Ste G103, Peoria, AZ 85381 Phone: 925-709-4044 Fax: 925-709-4044
Rheanna Schmidt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9188 W Davis Rd, Peoria, AZ 85282 Phone: 602-492-5686
Rebecca R Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14050 N 83rd Ave Ste 290, Peoria, AZ 85381 Phone: 623-276-5385
Mrs. Elisabeth Gayle Davies, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd, Suite #183 And Suite #186, Peoria, AZ 85381 Phone: 623-583-2893 Fax: 623-376-9282
Rani R Trent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13460 N 94th Dr Ste M1, Peoria, AZ 85381 Phone: 623-242-3237
Ronald James Lynch, MC, LPC, LISAC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8659 W Lariat Ln, Suite 100, Peoria, AZ 85383 Phone: 623-877-8000 Fax: 623-877-6424
Kerry L. Heath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20470 N Lake Pleasant Rd Ste 106, Peoria, AZ 85382 Phone: 623-826-7010 Fax: 866-496-7379

Mark Charles Conway, LAC - Medicare Counselor in Peoria, AZ