Mark Mcguinness, LCSW - Medicare Clinical Social Worker in Willimantic, CT

Mark Mcguinness, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Willimantic, Connecticut. His current practice location is 112 Mansfield Ave, Willimantic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 456-9116.

Mark Mcguinness is licensed to practice in Connecticut (license number 003411) 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 1346342490.

Contact Information

Mark Mcguinness, LCSW
112 Mansfield Ave,
Willimantic, CT 06226-2045
(860) 456-9116
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMark Mcguinness
GenderMale
SpecialitySocial Worker - Clinical
Location112 Mansfield Ave, Willimantic, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346342490
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 08/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688893431
  • Enrollment ID: I20140910000947

Medical Identifiers

Medical identifiers for Mark Mcguinness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346342490NPI-NPPES
140003411CT03OtherCTANTHEM
302661OtherCTMANAGED HEALTH NETWORK
A3463246OtherCTOXFORD
201522674OtherCTNORTHEAST HMCPPO HEALTHCA
201522674OtherCTPIONEER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 003411 (Connecticut)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 Mcguinness allows following entities to bill medicare on his behalf.
Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231
Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739
Entity NameState Of Connecticut
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902831548
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000291

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 Mcguinness 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 AddressPractice Location Address
Mark Mcguinness, LCSW
326 Washington St,
Norwich, CT 06360-2740

Ph: (860) 889-8331
Mark Mcguinness, LCSW
112 Mansfield Ave,
Willimantic, CT 06226-2045

Ph: (860) 456-9116

Reviews and Comments


Social Worker in Willimantic, CT

Karvada Monique Hurt, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 65 Peru St, Willimantic, CT 06226
Phone: 860-465-9884    
Virginia Lyon, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 40 Mansfield Ave, Willimantic, CT 06226
Phone: 860-450-0585    Fax: 860-450-0763
Lori Bernier, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-6793    Fax: 860-456-6957
Jessica L St. Louis, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 112 Mansfield Ave, Willimantic, CT 06226
Phone: 860-456-6985    Fax: 860-456-6771
Ms. Shannan Farr, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226
Phone: 860-456-2261    
Mrs. Elizabeth Soucy Mendes, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 54 North St, Willimantic, CT 06226
Phone: 860-450-0151    Fax: 860-450-7152
Taylor Girard,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 54-56 Boston Post Road, Willimantic, CT 06226
Phone: 860-456-7990    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.