Mark A Deyab, LICSW in Waltham, MA - Medicare Clinical Social Worker Provider

Mark A Deyab, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Waltham, Massachusetts. He graduated from healthcare school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 20 Hope Ave, G-05, Waltham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 799-3949.

Mark A Deyab is licensed to practice in Massachusetts (license number 111824) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104907732.

Contact Information

	Mark A Deyab, LICSW
	20 Hope Ave, G-05, Waltham, MA 02453-2721
	(781) 799-3949
	(781) 899-6386

Map and Direction

Healthcare Provider's Profile

Full Name	Mark A Deyab
Gender	Male
Speciality	Clinical Social Worker
Experience	30 Years
Location	20 Hope Ave, Waltham, Massachusetts
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark A Deyab graduated from medical school in 1994

NPI Data:

NPI Number: 1104907732
Provider Enumeration Date: 10/18/2006
Last Update Date: 03/17/2009

Medicare PECOS Information:

PECOS PAC ID: 8921065368
Enrollment ID: I20041216000816

Medical Identifiers

Medical identifiers for Mark A Deyab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104907732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	111824 (Massachusetts)	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 A Deyab allows following entities to bill medicare on his behalf.

Entity Name	Mark Deyab Licsw Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750715108 PECOS PAC ID: 9739302456 Enrollment ID: O20140528001190

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 A Deyab 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 A Deyab, LICSW 34 Wareham St, Apt. 1, Medford, MA 02155-6222 Ph: (781) 799-3949	Mark A Deyab, LICSW 20 Hope Ave, G-05, Waltham, MA 02453-2721 Ph: (781) 799-3949

Reviews and Comments

Counselor in Waltham, MA

Megan Harrington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 River St Ste 1, Waltham, MA 02453 Phone: 781-891-0555
Lyndie Laramore, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Main St, Waltham, MA 02451 Phone: 774-405-5730
Evonne Meranus, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Rumford Ave, Waltham, MA 02453 Phone: 781-894-4325 Fax: 781-894-1195
Sera Godfrey-kaplan, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Hope Ave Ste 312, Waltham, MA 02453 Phone: 617-918-7484
Michael P Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Bear Hill Rd, Waltham, MA 02451 Phone: 781-290-4970
Samara Volodin Muniz, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 River St, Waltham, MA 02453 Phone: 781-891-0555
Erik Inbar, Counselor Medicare: Medicare Enrolled Practice Location: 210 Bear Hill Rd Ste 203, Waltham, MA 02451 Phone: 781-290-4970

Mark A Deyab, LICSW - Medicare Counselor in Waltham, MA