Samkhann Mak, MSW - Medicare Counselor in Monona, WI

  1. Home
  2. Counselors
  3. WI
  4. Monona
Samkhann Mak, MSW is a medicare enrolled "Social Worker" provider in Monona, Wisconsin. He graduated from healthcare school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Tellurian, Inc., Trivium Llc and his current practice location is 300 Femrite Dr, Monona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 755-5260.

Samkhann Mak is licensed to practice in Wisconsin (license number 3049) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1750307815.

Contact Information

Samkhann Mak, MSW
300 Femrite Dr,
Monona, WI 53716-3716
(608) 755-5260
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSamkhann Mak
GenderMale
SpecialityClinical Social Worker
Experience32 Years
Location300 Femrite Dr, Monona, Wisconsin
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samkhann Mak graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1750307815
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 11/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507876075
  • Enrollment ID: I20060427000536

Medical Identifiers

Medical identifiers for Samkhann Mak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750307815NPI-NPPES
1750307815MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1928 (Wisconsin)Secondary
101Y00000XCounselor 3049 (Wisconsin)Secondary
104100000XSocial Worker 3049 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tellurian, Inc.62049253655
Trivium Llc68001156769

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. Samkhann Mak allows following entities to bill medicare on his behalf.
Entity NameGroup Health Cooperative Of South Central Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245260165
PECOS PAC ID: 3870489586
Enrollment ID: O20040227000306
Entity NameTellurian, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213776
PECOS PAC ID: 6204925365
Enrollment ID: O20071128000134
Entity NameTrivium Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265450753
PECOS PAC ID: 6800115676
Enrollment ID: O20150428001780

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. Samkhann Mak 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
Samkhann Mak, MSW
300 Femrite Dr,
Monona, WI 53716-3716

Ph: (608) 755-5260		Samkhann Mak, MSW
300 Femrite Dr,
Monona, WI 53716-3716

Ph: (608) 755-5260

Reviews and Comments


Social Worker in Monona, WI


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.