Mr Mark Dagnall, LMHC, LADC 1, CRC in Boston, MA

Mr Mark Dagnall, LMHC, LADC 1, CRC is a medicare enrolled "Counselor - Mental Health" provider in Boston, Massachusetts. His current practice location is 75 Amory St, Rear Entrance, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (857) 399-1915.

Mr Mark Dagnall is licensed to practice in Massachusetts (license number 9039) 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 1083930192.

Contact Information

	Mr Mark Dagnall, LMHC, LADC 1, CRC
	75 Amory St, Rear Entrance, Boston, MA 02119-1051
	(857) 399-1915
	(857) 399-1901

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Dagnall
Gender	Male
Speciality	Counselor - Mental Health
Location	75 Amory St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083930192
Provider Enumeration Date: 04/14/2010
Last Update Date: 07/21/2015

Medicare PECOS Information:

PECOS PAC ID: 1456799949
Enrollment ID: I20240403000833

Medical Identifiers

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

Identifier	Type	State	Issuer
1083930192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	2411 (Massachusetts)	Secondary
101YM0800X	Counselor - Mental Health	9039 (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. Mr Mark Dagnall allows following entities to bill medicare on his behalf.

Entity Name	Total Wellness Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153

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. Mr Mark Dagnall 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
Mr Mark Dagnall, LMHC, LADC 1, CRC 75 Amory St, Rear Entrance, Boston, MA 02119-1051 Ph: (857) 399-1915	Mr Mark Dagnall, LMHC, LADC 1, CRC 75 Amory St, Rear Entrance, Boston, MA 02119-1051 Ph: (857) 399-1915

Reviews and Comments

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Dr. Carole Ruth Bohn, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Bay State Rd, Boston, MA 02215 Phone: 617-353-3047 Fax: 617-353-5539
Jolie Pate, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Bowdoin St, Boston, MA 02114 Phone: 857-891-9479

Mr Mark Dagnall, LMHC, LADC 1, CRC - Medicare Counselor in Boston, MA