Mark A Bacco, MA, LPC, LCADC is a
Counselor - Professional based in Roxbury Township, New Jersey. Mark A Bacco is licensed to practice in New Jersey (license number 37PC00564400) and his current practice location is
4 Gold Mine Rd, Roxbury Township, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 527-7072.
NPI number for Mark A Bacco is 1396229639 and his current mailing address is 34 Lewisburg Rd, Lafayette, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396229639.
Healthcare Provider's Profile
| Full Name | Mark A Bacco |
|---|
| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 4 Gold Mine Rd, Roxbury Township, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396229639
- Provider Enumeration Date: 09/22/2018
- Last Update Date: 09/22/2018
Medical Identifiers
Medical identifiers for Mark A Bacco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396229639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00204100 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00564400 (New Jersey) | Primary |
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. Mark A Bacco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark A Bacco, MA, LPC, LCADC
34 Lewisburg Rd,
Lafayette, NJ 07848-3145
Ph: (973) 224-4888 | Mark A Bacco, MA, LPC, LCADC
4 Gold Mine Rd,
Roxbury Township, NJ 07836-9122
Ph: (973) 527-7072 |
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