Samkhann Mak, MSW is a medicare enrolled "Social Worker" provider in Monona, Wisconsin. 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.
Healthcare Provider's Profile
| Full Name | Samkhann Mak |
|---|
| Gender | Male |
|---|
| Speciality | |
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| Experience | Years |
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| Location | 300 Femrite Dr, Monona, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samkhann Mak attended and graduated from in
NPI Data:
- NPI Number: 1750307815
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samkhann Mak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750307815 | NPI | - | NPPES |
| 1750307815 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1928 (Wisconsin) | Secondary |
| 101Y00000X | Counselor | 3049 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 3049 (Wisconsin) | Primary |
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 Address | Practice 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 |
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