Mary K Pequignot, MSED, LMHC in Fort Wayne, IN

Mary K Pequignot, MSED, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. Her current practice location is 2100 Goshen Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 471-3500.

Mary K Pequignot is licensed to practice in Indiana (license number 39001305A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871833889.

Contact Information

	Mary K Pequignot, MSED, LMHC
	2100 Goshen Rd, Fort Wayne, IN 46808-1493
	(260) 471-3500
	(260) 471-4263

Map and Direction

Healthcare Provider's Profile

Full Name	Mary K Pequignot
Gender	Female
Speciality	Counselor - Mental Health
Location	2100 Goshen Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871833889
Provider Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013

Medicare PECOS Information:

PECOS PAC ID: 2769832377
Enrollment ID: I20231222000557

Medical Identifiers

Medical identifiers for Mary K Pequignot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871833889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39001305A (Indiana)	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. Mary K Pequignot allows following entities to bill medicare on her behalf.

Entity Name	The Otis R Bowen Center For Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Mary K Pequignot 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
Mary K Pequignot, MSED, LMHC 850 N Harrison St, Warsaw, IN 46580-3163 Ph: (574) 267-7169	Mary K Pequignot, MSED, LMHC 2100 Goshen Rd, Fort Wayne, IN 46808-1493 Ph: (260) 471-3500

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270

Mary K Pequignot, MSED, LMHC - Medicare Counselor in Fort Wayne, IN