Mr Mark Stewart Simpson, PSYD, LADAC is a medicare enrolled "Psychologist - Clinical" provider in Fort Defiance, Arizona. He graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice K'imaw Medical Center and his current practice location is
Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 729-8506.
Mr Mark Stewart Simpson is licensed to practice in New Mexico (license number 0930) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518952662.
Healthcare Provider's Profile
| Full Name | Mr Mark Stewart Simpson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Mark Stewart Simpson graduated from medical school in 2012
NPI Data:
- NPI Number: 1518952662
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 01/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 6709901044
- Enrollment ID: I20240429003384
Medical Identifiers
Medical identifiers for Mr Mark Stewart Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518952662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0081081 (New Mexico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0930 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| K'imaw Medical Center | 5496740698 | 4 |
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. Mr Mark Stewart Simpson allows following entities to bill medicare on his behalf.
| Entity Name | K'imaw Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306904222 PECOS PAC ID: 5496740698 Enrollment ID: O20040416001480 |
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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. Mr Mark Stewart Simpson 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 |
Mr Mark Stewart Simpson, PSYD, LADAC Po Box 649, Fort Defiance Indian Hospital Board, Inc, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8506 | Mr Mark Stewart Simpson, PSYD, LADAC Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8506 |
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