Selena Marie Marquis, LDAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Whitefield, New Hampshire. Her current practice location is
8 Clover Ln, Whitefield, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 788-5075.
Selena Marie Marquis is licensed to practice in New Hampshire (license number 1247) 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 1659071512.
Healthcare Provider's Profile
Full Name | Selena Marie Marquis |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 8 Clover Ln, Whitefield, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659071512
- Provider Enumeration Date: 03/08/2023
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305282831
- Enrollment ID: I20240307000112
Medical Identifiers
Medical identifiers for Selena Marie Marquis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659071512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1247 (New Hampshire) | 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. Selena Marie Marquis allows following entities to bill medicare on her behalf.
Entity Name | Weeks Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508819566 PECOS PAC ID: 2769461284 Enrollment ID: O20040719000284 |
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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. Selena Marie Marquis 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 |
Selena Marie Marquis, LDAC 173 Middle St, Lancaster, NH 03584-3508 Ph: (603) 788-5029 | Selena Marie Marquis, LDAC 8 Clover Ln, Whitefield, NH 03598-3343 Ph: (603) 788-5075 |
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