Mr Mark Anthony George Gagnon Jr, LCSW - Medicare in Merritt Island, FL

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Mr Mark Anthony George Gagnon Jr, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Merritt Island, Florida. His current practice location is 240 Bonita Dr, Merritt Island, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 355-2157.

Mr Mark Anthony George Gagnon Jr is licensed to practice in Florida (license number SW22246) 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 1467229401.

Contact Information

Mr Mark Anthony George Gagnon Jr, LCSW
240 Bonita Dr,
Merritt Island, FL 32952-5102
(321) 355-2157
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark Anthony George Gagnon Jr
GenderMale
SpecialityCounselor - Mental Health
Location240 Bonita Dr, Merritt Island, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467229401
  • Provider Enumeration Date: 12/11/2023
  • Last Update Date: 04/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466897624
  • Enrollment ID: I20240227002945

Medical Identifiers

Medical identifiers for Mr Mark Anthony George Gagnon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467229401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW22246 (Florida)Secondary
101YM0800XCounselor - Mental Health SW22246 (Florida)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. Mr Mark Anthony George Gagnon Jr allows following entities to bill medicare on his behalf.
Entity NameMcr Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587

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 Anthony George Gagnon Jr 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
Mr Mark Anthony George Gagnon Jr, LCSW
2875 S Orange Ave Ste 500,
Orlando, FL 32806-5455

Ph: (321) 355-2157		Mr Mark Anthony George Gagnon Jr, LCSW
240 Bonita Dr,
Merritt Island, FL 32952-5102

Ph: (321) 355-2157

Reviews and Comments



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.