Mr Mark W Seymour, PCC in Fremont, OH - Medicare Counselor Provider

Mr Mark W Seymour, PCC is a medicare enrolled "Counselor - Professional" provider in Fremont, Ohio. His current practice location is 710 Cleveland Ave, Fremont, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 334-6619.

Mr Mark W Seymour is licensed to practice in Ohio (license number E 0005669) 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 1841520178.

Contact Information

	Mr Mark W Seymour, PCC
	710 Cleveland Ave, Fremont, OH 43420-3224
	(419) 334-6619
	(419) 334-6663

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark W Seymour
Gender	Male
Speciality	Counselor - Professional
Location	710 Cleveland Ave, Fremont, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841520178
Provider Enumeration Date: 01/08/2010
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2769826353
Enrollment ID: I20240222002015

Medical Identifiers

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

Identifier	Type	State	Issuer
1841520178	NPI	-	NPPES
0156327	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C0005669 (Ohio)	Secondary
101YP2500X	Counselor - Professional	E 0005669 (Ohio)	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 W Seymour allows following entities to bill medicare on his behalf.

Entity Name	Memorial Professional Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164

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 W Seymour 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 W Seymour, PCC 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177	Mr Mark W Seymour, PCC 710 Cleveland Ave, Fremont, OH 43420-3224 Ph: (419) 334-6619

Reviews and Comments

Counselor in Fremont, OH

Tammy Jo Broshious, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E State St, Fremont, OH 43420 Phone: 419-334-3431 Fax: 419-334-4230
Kjirsten Corson, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023 Fax: 567-201-2669
Mariah Elizabeth Strayer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Bartson Rd, Fremont, OH 43420 Phone: 419-332-5524
Mr. Christopher Juan Jordan, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Fremont, OH 43420 Phone: 567-280-9435
Stephanie Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023
Bryana Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Croghan St, Fremont, OH 43420 Phone: 419-458-3100 Fax: 567-250-2152
Mrs. Robin Elizabeth Stull, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2228 Hayes Ave Ste D, Fremont, OH 43420 Phone: 419-635-6624

Mr Mark W Seymour, PCC - Medicare Counselor in Fremont, OH