Mark Thomas Nickels, in Ware, MA - Medicare Counselor Provider

Mark Thomas Nickels, is a medicare enrolled "Counselor - Mental Health" provider in Ware, Massachusetts. His current practice location is 96 South St, Ware, Ware, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 967-6241.

Mark Thomas Nickels is licensed to practice in Massachusetts (license number 11077) 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 1124429840.

Contact Information

	Mark Thomas Nickels,
	96 South St, Ware, Ware, MA 01082-1616
	(413) 967-6241
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Thomas Nickels
Gender	Male
Speciality	Counselor - Mental Health
Location	96 South St, Ware, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124429840
Provider Enumeration Date: 09/12/2014
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6305296567
Enrollment ID: I20231229002135

Medical Identifiers

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

Identifier	Type	State	Issuer
1124429840	NPI	-	NPPES
1300881	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	11077 (Massachusetts)	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 Thomas Nickels allows following entities to bill medicare on his behalf.

Entity Name	Behavioral Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373

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 Thomas Nickels 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 Thomas Nickels, 96 South St, Ware, Ware, MA 01082-1616 Ph: () -	Mark Thomas Nickels, 96 South St, Ware, Ware, MA 01082-1616 Ph: (413) 967-6241

Reviews and Comments

Counselor in Ware, MA

Jeremy Giannetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Main St, Ware, MA 01082 Phone: 413-747-0705 Fax: 413-732-7075
Shannon Michele Robare, Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Main St, Ware, MA 01082 Phone: 413-579-7572 Fax: 413-277-0537
Stephanie Albert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 South St, Ware, MA 01082 Phone: 413-967-6241 Fax: 413-967-9807
Caitlin Mary Abrahamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 South St, Ware, MA 01082 Phone: 413-244-5489
Erin Marie Samson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Main St, Ware, MA 01082 Phone: 413-579-7572 Fax: 413-277-0537
Alissa Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 South St, Ware, MA 01082 Phone: 413-967-6241 Fax: 413-732-7075
Crystal Marie Rondeau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 Main St, Ware, MA 01082 Phone: 413-967-6241 Fax: 413-732-7075

Mark Thomas Nickels, - Medicare Counselor in Ware, MA