Miss Margaret Katherine Proulx, LMHC - Medicare Counselor in Ballston Spa, NY

Miss Margaret Katherine Proulx, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Ballston Spa, New York. Her current practice location is 31110 Squaw Creek Trl, Ballston Spa, New York. You can reach out to her office (for appointments etc.) via phone at (920) 579-2304.

Miss Margaret Katherine Proulx is licensed to practice in New York (license number 012868) 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 1447829866.

Contact Information

Miss Margaret Katherine Proulx, LMHC
31110 Squaw Creek Trl,
Ballston Spa, NY 12020-2725
(920) 579-2304
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMiss Margaret Katherine Proulx
GenderFemale
SpecialityCounselor - Mental Health
Location31110 Squaw Creek Trl, Ballston Spa, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447829866
  • Provider Enumeration Date: 06/21/2021
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234578980
  • Enrollment ID: I20240415002819

Medical Identifiers

Medical identifiers for Miss Margaret Katherine Proulx such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447829866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health P107811 (New York)Secondary
101YM0800XCounselor - Mental Health 012868 (New York)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. Miss Margaret Katherine Proulx allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053

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. Miss Margaret Katherine Proulx 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 AddressPractice Location Address
Miss Margaret Katherine Proulx, LMHC
31110 Squaw Creek Trl,
Ballston Spa, NY 12020-2725

Ph: (920) 579-2304
Miss Margaret Katherine Proulx, LMHC
31110 Squaw Creek Trl,
Ballston Spa, NY 12020-2725

Ph: (920) 579-2304

Reviews and Comments


Counselor in Ballston Spa, NY

Mrs. Molly Insogna, BSW CASAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 433 Geyser Rd, Ballston Spa, NY 12020
Phone: 518-885-6884    Fax: 518-885-0077
Ms. Carolyn Barter, CASAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 433 Geyser Rd, Ballston Spa, NY 12020
Phone: 518-885-6884    Fax: 518-885-0077
Kristy Ann Williamson-leo, LMHC-CASAC-T
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 35 Bath St, Ballston Spa, NY 12020
Phone: 518-245-6272    Fax: 845-868-3124
Brooke Brown, LCSWR
Counselor
Medicare: Medicare Enrolled
Practice Location: 2452 State Route 9, Ballston Spa, NY 12020
Phone: 518-292-5433    
Erin Smith, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 425 Eastline Rd, Ballston Spa, NY 12020
Phone: 518-309-3557    
Kristen Sumple,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 210 Ballston Ave, Ballston Spa, NY 12020
Phone: 518-884-7200    
Ms. Allison P. Howe, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 758 Revolutionary Dr, Ballston Spa, NY 12020
Phone: 518-583-2042    Fax: 518-583-2042

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.