Dallas J Mark, in San Rafael, CA - Medicare Counselor Provider

Dallas J Mark, is a medicare enrolled "Counselor" provider in San Rafael, California. Her current practice location is 1466 Lincoln Ave, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 457-3755.

Dallas J Mark is licensed to practice in * (Not Available) (license number ) 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 1689955569.

Contact Information

	Dallas J Mark,
	1466 Lincoln Ave, San Rafael, CA 94901-2021
	(415) 457-3755
	(415) 457-0849

Map and Direction

Healthcare Provider's Profile

Full Name	Dallas J Mark
Gender	Female
Speciality	Counselor
Location	1466 Lincoln Ave, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689955569
Provider Enumeration Date: 09/06/2011
Last Update Date: 09/06/2011

Medicare PECOS Information:

PECOS PAC ID: 2961854294
Enrollment ID: I20240122004619

Medical Identifiers

Medical identifiers for Dallas J Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689955569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Dallas J Mark allows following entities to bill medicare on her behalf.

Entity Name	Berkeley Therapy Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255497814 PECOS PAC ID: 2264414283 Enrollment ID: O20040603000801

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. Dallas J Mark 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
Dallas J Mark, 1466 Lincoln Ave, San Rafael, CA 94901-2021 Ph: (415) 457-3755	Dallas J Mark, 1466 Lincoln Ave, San Rafael, CA 94901-2021 Ph: (415) 457-3755

Reviews and Comments

Counselor in San Rafael, CA

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Mr. Daniel Alan Linder, MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 C St, San Rafael, CA 94901 Phone: 415-456-0802
Ms. Anneli Kim Richards, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Carlos Dr, Bay Area Community Resources, San Rafael, CA 94903 Phone: 415-444-5580 Fax: 415-444-5598

Dallas J Mark, - Medicare Counselor in San Rafael, CA