Mark A Bacco, MA, LPC, LCADC is a medicare enrolled "Counselor - Professional" provider in Roxbury Township, New Jersey. His current practice location is
4 Gold Mine Rd, Roxbury Township, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 527-7072.
Mark A Bacco is licensed to practice in New Jersey (license number 37PC00564400) 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 1396229639.
Healthcare Provider's Profile
| Full Name | Mark A Bacco |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 4 Gold Mine Rd, Roxbury Township, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396229639
- Provider Enumeration Date: 09/22/2018
- Last Update Date: 09/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456895580
- Enrollment ID: I20240701001886
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 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. Mark A Bacco allows following entities to bill medicare on his behalf.
| Entity Name | Adult Family Health Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669956298
PECOS PAC ID: 3072918713
Enrollment ID: O20210819000002 |
|---|
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
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 |
|---|
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 |
Reviews and Comments