Dr Mario Lippy, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chandler, Arizona. His current practice location is
2081 W Frye Rd Ste 208, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 524-0990.
Dr Mario Lippy is licensed to practice in Arizona (license number PSY-004234) 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 1750453106.
Healthcare Provider's Profile
| Full Name | Dr Mario Lippy |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 2081 W Frye Rd Ste 208, Chandler, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750453106
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 2668876210
- Enrollment ID: I20210804003130
Medical Identifiers
Medical identifiers for Dr Mario Lippy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750453106 | NPI | - | NPPES |
| PSY004234 | Other | AZ | ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LISAC11042 (Arizona) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-004234 (Arizona) | 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 Mario Lippy allows following entities to bill medicare on his behalf.
| Entity Name | Spectrum Healthcare Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487635389
PECOS PAC ID: 3072411388
Enrollment ID: O20031223000698 |
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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. Dr Mario Lippy 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 Mario Lippy, PSYD
2081 W Frye Rd Ste 208,
Chandler, AZ 85224-6279
Ph: (480) 524-0990 | Dr Mario Lippy, PSYD
2081 W Frye Rd Ste 208,
Chandler, AZ 85224-6279
Ph: (480) 524-0990 |
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