Mark Keller, LICSW in Pittsfield, MA - Medicare Counselor Provider

Mark Keller, LICSW is a medicare enrolled "Counselor" provider in Pittsfield, Massachusetts. His current practice location is 359 Fenn St, Administrative Offices, Pittsfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 629-1262.

Mark Keller is licensed to practice in * (Not Available) (license number ) 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 1881986966.

Contact Information

	Mark Keller, LICSW
	359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261
	(413) 629-1262
	(413) 448-2198

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Keller
Gender	Male
Speciality	Counselor
Location	359 Fenn St, Pittsfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881986966
Provider Enumeration Date: 05/09/2011
Last Update Date: 05/09/2011

Medicare PECOS Information:

PECOS PAC ID: 5092035550
Enrollment ID: I20180328000277

Medical Identifiers

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

Identifier	Type	State	Issuer
1881986966	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. Mark Keller allows following entities to bill medicare on his behalf.

Entity Name	San Juan Mental Health-substance Abuse Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356353692 PECOS PAC ID: 9638124910 Enrollment ID: O20050319000027

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 Keller 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 Keller, LICSW 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 Ph: (413) 629-1262	Mark Keller, LICSW 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 Ph: (413) 629-1262

Reviews and Comments

Counselor in Pittsfield, MA

Eileeen Morrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198
Jill Marion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198
Ms. Pamela Bucklin Burger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 Eagle St, First Floor, Pittsfield, MA 01201 Phone: 413-236-5656 Fax: 413-499-6572
Daniel Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1251 Fax: 413-448-2198
Theresa Whitney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198
Helen Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 Wendell Ave Ste 100, Pittsfield, MA 01201 Phone: 617-410-6494
Quintin Sumpter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Fenn St, Administrative Offices, Pittsfield, MA 01201 Phone: 413-629-1262 Fax: 413-448-2198

Mark Keller, LICSW - Medicare Counselor in Pittsfield, MA