Mindy Mack, in Port Clinton, OH - Medicare Counselor Provider

Mindy Mack, is a medicare enrolled "Counselor - Mental Health" provider in Port Clinton, Ohio. Her current practice location is 335 Buckeye Blvd, Port Clinton, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 734-2942.

Mindy Mack is licensed to practice in Ohio (license number C1100298) 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 1861896953.

Contact Information

	Mindy Mack,
	335 Buckeye Blvd, Port Clinton, OH 43452-1423
	(419) 734-2942
	(419) 734-4922

Map and Direction

Healthcare Provider's Profile

Full Name	Mindy Mack
Gender	Female
Speciality	Counselor - Mental Health
Location	335 Buckeye Blvd, Port Clinton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861896953
Provider Enumeration Date: 10/17/2014
Last Update Date: 10/17/2014

Medicare PECOS Information:

PECOS PAC ID: 4385088111
Enrollment ID: I20240220001706

Medical Identifiers

Medical identifiers for Mindy Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861896953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C1100298 (Ohio)	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. Mindy Mack allows following entities to bill medicare on her behalf.

Entity Name	Firelands Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236

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. Mindy Mack 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
Mindy Mack, 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-7400	Mindy Mack, 335 Buckeye Blvd, Port Clinton, OH 43452-1423 Ph: (419) 734-2942

Reviews and Comments

Counselor in Port Clinton, OH

Ms. Morgan Ashley Maxwell, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Madison St, Port Clinton, OH 43452 Phone: 419-734-5535
Danielle Nicole Jones, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Madison St Fl 1, Port Clinton, OH 43452 Phone: 419-734-5535 Fax: 419-734-5535
Ms. Emily Ann Gibson, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4462 Marin Blvd, Port Clinton, OH 43452 Phone: 402-871-3474 Fax: 419-960-7309
Mrs. Dorothy Wilken, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Buckeye Blvd., Port Clinton, OH 43452 Phone: 419-734-2942 Fax: 419-734-4922
Cassandra Mcghee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1854 E Perry St, Port Clinton, OH 43452 Phone: 419-208-6525 Fax: 419-359-5114
Julie Groover, MPC, CDCA Counselor Medicare: Medicare Enrolled Practice Location: 201 Madison St, Port Clinton, OH 43452 Phone: 419-734-5535 Fax: 419-734-5536
Mary Kay Baumgartner, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Buckeye Blvd, Port Clinton, OH 43452 Phone: 419-734-2942 Fax: 419-734-4922

Mindy Mack, - Medicare Counselor in Port Clinton, OH