Mary Collette Parks, LBS, LPC is a medicare enrolled "Counselor - Professional" provider in New Freedom, Pennsylvania. Her current practice location is
781 Far Hills Dr Ste 600, New Freedom, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 812-2560.
Mary Collette Parks is licensed to practice in Pennsylvania (license number PC012855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619593639.
Healthcare Provider's Profile
| Full Name | Mary Collette Parks |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 781 Far Hills Dr Ste 600, New Freedom, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619593639
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527417278
- Enrollment ID: I20240214000434
Medical Identifiers
Medical identifiers for Mary Collette Parks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619593639 | NPI | - | NPPES |
| BH002981 | Other | PA | LICENSED BEHAVIORAL SPECIALIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | BH002981 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC012855 (Pennsylvania) | 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. Mary Collette Parks allows following entities to bill medicare on her behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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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. Mary Collette Parks 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 |
|---|
Mary Collette Parks, LBS, LPC
601 Memory Ln,
York, PA 17402-2231
Ph: (717) 851-1405 | Mary Collette Parks, LBS, LPC
781 Far Hills Dr Ste 600,
New Freedom, PA 17349-8404
Ph: (717) 812-2560 |
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