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SAMKHANN MAK MSW
NPI 1750307815
Social Worker in Monona, WI

Active since July 14, 2006PECOS Enrolled
300 FEMRITE DR, MONONA, WI 53716(608) 755-5260 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2021, Nov 7, 2018 (2 updates tracked since 2018).

About Samkhann Mak Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMKHANN MAK MSW (NPI 1750307815) is an individual social worker in Monona, Wisconsin, licensed in Wisconsin (3049) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1750307815
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameSAMKHANN MAKCredential: MSW
Location Address300 FEMRITE DRMonona, WI 53716-3716
Mailing Address300 Femrite DrMonona, WI 53716-3716 · (608) 755-5260 · Fax (608) 755-5267
Phone(608) 755-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1750307815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WI · 3049
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselorTaxonomy 101Y00000X · License 3049 (WI)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1928 (WI)
300 FEMRITE DR, Monona, WI 53716
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Other Identifiers 1

Medicaid1750307815WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samkhann Mak Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507876075
PECOS Enrollment IDI20060427000536
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Samkhann Mak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tellurian, Inc.
Same address
Mental Health (Including Community Mental Health Center)
300 FEMRITE DR
Monona, WI 53716
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1235302480 (608) 222-7311
Group Health Cooperative Of South Central Wisconsin
10 mi
Health Maintenance Organization
1265 JOHN Q HAMMONS DR
Madison, WI 53717
  • Reassigned Medicare billing, Wisconsin enrollment
  • 422 clinicians in this Medicare group
NPI 1245260165 (608) 251-4156
Trivium LLC
30 mi
Mental Health (Including Community Mental Health Center)
17 S. RIVER ST., SUITE 254
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 14 clinicians in this Medicare group
NPI 1265450753 (608) 755-5260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
141 services18 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GERALD WISTEIN ICS, CSAC, MSW
Counselor (Addiction (Substance Use Disorder))
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 204-8491
JAMES E KILGORE CSAC, ICS
Counselor (Addiction (Substance Use Disorder))
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311
MR. MICHAEL BERTRAND SAC, MDIV.
Counselor (Addiction (Substance Use Disorder))
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311
TELLURIAN, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311
RICHARD D. SCHWICHTENBERG LCSW
Counselor (Mental Health)
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311
JOHN ANDREW SMITH LPC, CASC, ICS
Counselor (Addiction (Substance Use Disorder))
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311
DR. GREGORY JOHN MATYSIK LPC, CSAC, PHD
Substance Abuse Rehabilitation Facility
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311
JESSIE ERIK LAZO
Counselor (Professional)
300 FEMRITE DR
MONONA, WI 53716
Dane County (608) 222-7311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samkhann Mak's NPI number?

The NPI number for Samkhann Mak is 1750307815. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Samkhann Mak located?

Samkhann Mak practices at 300 Femrite Dr, Monona, WI 53716. The listed phone number is (608) 755-5260.

What is Samkhann Mak's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Samkhann Mak enrolled in Medicare?

Yes. Samkhann Mak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samkhann Mak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samkhann Mak reassigns Medicare benefits to 3 organizations: Tellurian, Inc. (Monona, WI), Group Health Cooperative Of South Central Wisconsin (Madison, WI) and Trivium LLC (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samkhann Mak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samkhann Mak accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans and 1 other insurer list Samkhann Mak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samkhann Mak was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.