Helena Marie Dufault, LCSW, ACT - Medicare Counselor in Sioux Falls, SD

Helena Marie Dufault, LCSW, ACT is a medicare enrolled "Social Worker - Clinical" provider in Sioux Falls, South Dakota. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mk Counseling Llc and her current practice location is 2412 S Cliff Ave, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-4079.

Helena Marie Dufault is licensed to practice in South Dakota (license number 3275) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689238941.

Contact Information

Helena Marie Dufault, LCSW, ACT
2412 S Cliff Ave,
Sioux Falls, SD 57105-4031
(605) 322-4079
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameHelena Marie Dufault
GenderFemale
SpecialityClinical Social Worker
Experience12 Years
Location2412 S Cliff Ave, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Helena Marie Dufault graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1689238941
  • Provider Enumeration Date: 04/23/2019
  • Last Update Date: 04/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981937562
  • Enrollment ID: I20190613001915

Medical Identifiers

Medical identifiers for Helena Marie Dufault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689238941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 7998 (South Dakota)Secondary
1041C0700XSocial Worker - Clinical 3275 (South Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mk Counseling Llc387099118511

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. Helena Marie Dufault allows following entities to bill medicare on her behalf.
Entity NameMk Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457029597
PECOS PAC ID: 3870991185
Enrollment ID: O20211016000027

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. Helena Marie Dufault 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
Helena Marie Dufault, LCSW, ACT
2404 S 4th Ave,
Sioux Falls, SD 57105-3955

Ph: (605) 376-2691
Helena Marie Dufault, LCSW, ACT
2412 S Cliff Ave,
Sioux Falls, SD 57105-4031

Ph: (605) 322-4079

Reviews and Comments


Social Worker in Sioux Falls, SD


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.