Mark Saderholm, LPCC in Edmonton, KY - Medicare Counselor Provider

Mark Saderholm, LPCC is a medicare enrolled "Counselor - Professional" provider in Edmonton, Kentucky. His current practice location is 112 Sartin Dr., Edmonton, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 432-4951.

Mark Saderholm is licensed to practice in Kentucky (license number 102948) 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 1265567549.

Contact Information

	Mark Saderholm, LPCC
	112 Sartin Dr., Edmonton, KY 42129
	(270) 432-4951
	(270) 432-5054

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Saderholm
Gender	Male
Speciality	Counselor - Professional
Location	112 Sartin Dr., Edmonton, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265567549
Provider Enumeration Date: 02/23/2007
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 0941650949
Enrollment ID: I20240102003964

Medical Identifiers

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

Identifier	Type	State	Issuer
1265567549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	102948 (Kentucky)	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 Saderholm allows following entities to bill medicare on his behalf.

Entity Name	Lifeskills, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330

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 Saderholm 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 Saderholm, LPCC 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000	Mark Saderholm, LPCC 112 Sartin Dr., Edmonton, KY 42129 Ph: (270) 432-4951

Reviews and Comments

Counselor in Edmonton, KY

Erik Hunley, BHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054
Autumn Jordan Lynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-901-5000
Pamela Sue Mcpeak, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 109 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-2444 Fax: 270-432-2445
Rita Milby, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr., Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054
Chastity Renee Munoz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-901-5000 Fax: 270-842-5268
Ambria Winters White Hardison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-901-5000

Mark Saderholm, LPCC - Medicare Counselor in Edmonton, KY