Mark Daniel Simmons, LCPC/C - Medicare Counselor in Kennebunkport, ME

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Mark Daniel Simmons, LCPC/C is a medicare enrolled "Counselor - Professional" provider in Kennebunkport, Maine. His current practice location is 103 Whitten Hill Rd, Kennebunkport, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 205-3708.

Mark Daniel Simmons is licensed to practice in Maine (license number XL4378) 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 1669850376.

Contact Information

Mark Daniel Simmons, LCPC/C
103 Whitten Hill Rd,
Kennebunkport, ME 04046-5117
(207) 205-3708
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMark Daniel Simmons
GenderMale
SpecialityCounselor - Professional
Location103 Whitten Hill Rd, Kennebunkport, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669850376
  • Provider Enumeration Date: 05/13/2015
  • Last Update Date: 05/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9032553375
  • Enrollment ID: I20240214004295

Medical Identifiers

Medical identifiers for Mark Daniel Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669850376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor XL4378 (Maine)Secondary
101YM0800XCounselor - Mental Health XL4378 (Maine)Secondary
101YP2500XCounselor - Professional XL4378 (Maine)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 Daniel Simmons allows following entities to bill medicare on his behalf.
Entity NameHealth Affiliates Maine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932413556
PECOS PAC ID: 1951594076
Enrollment ID: O20101021000912

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 Daniel Simmons 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 Daniel Simmons, LCPC/C
103 Whitten Hill Rd,
Kennebunkport, ME 04046-5117

Ph: (207) 205-3708		Mark Daniel Simmons, LCPC/C
103 Whitten Hill Rd,
Kennebunkport, ME 04046-5117

Ph: (207) 205-3708

Reviews and Comments


Counselor in Kennebunkport, ME

Kerry Bennett, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 20 Fairfield Hill Rd, Kennebunkport, ME 04046
Phone: 206-930-6435    
Carinne Osgood,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 39 Maine St, Kennebunkport, ME 04046
Phone: 207-604-0576    
Richard D Tryon, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 27 The Long And Winding Rd, Kennebunkport, ME 04046
Phone: 207-229-3935    

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.