Mark R Boroski, LMFT,LADC, MA,BS in New Haven, CT - Medicare Marriage & Family Therapist Provider

Mark R Boroski, LMFT,LADC, MA,BS is a medicare enrolled "Marriage & Family Therapist" provider in New Haven, Connecticut. His current practice location is 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 503-3075.

Mark R Boroski is licensed to practice in Connecticut (license number 1951) 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 1841672821.

Contact Information

	Mark R Boroski, LMFT,LADC, MA,BS
	400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519-1233
	(203) 503-3075
	(203) 503-3296

Map and Direction

Healthcare Provider's Profile

Full Name	Mark R Boroski
Gender	Male
Speciality	Marriage & Family Therapist
Location	400 Columbus Avenue, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841672821
Provider Enumeration Date: 06/25/2015
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0840636114
Enrollment ID: I20240308001129

Medical Identifiers

Medical identifiers for Mark R Boroski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841672821	NPI	-	NPPES
008065074	Medicaid	CT
060669107	Other	CT	HEALTHYCT WELLMORE GRP/FACILITY
NOT ELIGIBLE	Other	CT	CIGNA BEHAVIORAL HEALTH
NOT ELIGIBLE	Other	CT	MHN TRICARENORTH
060669107	Other	CT	OPTUM BEHAVIORAL HEALTH-UBH WELLMORE FACILITY/GRP
060669107	Other	CT	UBH-OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
CAC-6129	Other	CT	CCB-CERTIFIED ADDICTION COUNSELOR
060669107	Other	CT	UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
10450310 402 E MAIN	Other	CT	BEACON HEALTH STRATEGIES
060669107	Other	CT	ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
NOT ELIGIBLE	Other	CT	MHN MANAGED HEALTH NETWORK
ICADC-6129	Other	CT	CCB- INTERNATIONALLY CERTIFIED ADDICTION COUNSELOR
060669107	Other	CT	UBH-CONNECTICARE WELLMORE GRP/FACILITY
13823195	Other	CT	CAQH
PENDING	Other	CT	AETNA BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1194 (Connecticut)	Secondary
106H00000X	Marriage & Family Therapist	1951 (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 R Boroski allows following entities to bill medicare on his behalf.

Entity Name	Cornell Scott Hill Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145

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 R Boroski 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 R Boroski, LMFT,LADC, MA,BS Po Box 7720, Credentialing Specialist, New Haven, CT 06519-0720 Ph: (203) 503-3174	Mark R Boroski, LMFT,LADC, MA,BS 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519-1233 Ph: (203) 503-3075

Reviews and Comments

Marriage & Family Therapist in New Haven, CT

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Lisa J Adams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 232 Cedar St, New Haven, CT 06519 Phone: 203-503-3300 Fax: 203-401-3352
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Miss Tanesha Nakia Margaglione, MFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 189 Orange St, New Haven, CT 06510 Phone: 203-937-2309
Mrs. Morel Morton Alexander, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 251 Edwards St, New Haven, CT 06511 Phone: 203-785-0750 Fax: 860-376-5878
Liam Stephen O'mahony, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 189 Orange St, New Haven, CT 06510 Phone: 203-937-2309

Mark R Boroski, LMFT,LADC, MA,BS - Medicare Couples Therapy in New Haven, CT