Dr Jonathan William Marin, PHD in Menasha, WI - Medicare Psychologist Provider

Dr Jonathan William Marin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Menasha, Wisconsin. His current practice location is 1095 Midway Rd, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 720-2300.

Dr Jonathan William Marin is licensed to practice in Wisconsin (license number 3062-57) 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 1104600824.

Contact Information

	Dr Jonathan William Marin, PHD
	1095 Midway Rd, Menasha, WI 54952-1115
	(920) 720-2300
	(920) 720-3719

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan William Marin
Gender	Male
Speciality	Psychologist - Clinical
Location	1095 Midway Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104600824
Provider Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8729434139
Enrollment ID: I20231020001964

Medical Identifiers

Medical identifiers for Dr Jonathan William Marin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104600824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3062-57 (Wisconsin)	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. Dr Jonathan William Marin allows following entities to bill medicare on his behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Dr Jonathan William Marin 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
Dr Jonathan William Marin, PHD 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300	Dr Jonathan William Marin, PHD 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300

Reviews and Comments

Psychologist in Menasha, WI

Yvette Samantha Goebel, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-3870
Thomas Groh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Rebecca Timmins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 231 9th St, Menasha, WI 54952 Phone: 920-475-2195
Mr. Steven Robert Clothier, M.S.E. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Kenwood Dr, Menasha, WI 54952 Phone: 920-883-9336
Francis J Cummings, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1427 Province Ter, Suite C, Menasha, WI 54952 Phone: 920-738-9999 Fax: 920-738-9901
Melissa J Pecor, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3719

Dr Jonathan William Marin, PHD - Medicare Psychologist in Menasha, WI