Dr Mark R Thelen, PSYD LP LMFT is a medicare enrolled "Psychologist" provider in Monticello, Minnesota. His current practice location is
261 E Broadway St, Monticello, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 370-0243.
Dr Mark R Thelen is licensed to practice in Minnesota (license number LP2992) 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 1568425908.
Healthcare Provider's Profile
| Full Name | Dr Mark R Thelen |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 261 E Broadway St, Monticello, Minnesota |
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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: 1568425908
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 04/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709072952
- Enrollment ID: I20101130000534
Medical Identifiers
Medical identifiers for Dr Mark R Thelen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568425908 | NPI | - | NPPES |
| 6118960 | Other | | UBH |
| 105008 | Other | | UCARE |
| HP27417 | Other | | HEALTH PARTNERS |
| 1023459 | Other | MN | PREFERRED ONE |
| 680007902 | Other | | RR MEDICARE |
| 704817300 | Medicaid | MN | |
| 7H446TH | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 645 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP2992 (Minnesota) | 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. Dr Mark R Thelen 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 Mark R Thelen, PSYD LP LMFT
Po Box 102,
Monticello, MN 55362-0102
Ph: (763) 370-0243 | Dr Mark R Thelen, PSYD LP LMFT
261 E Broadway St,
Monticello, MN 55362-9317
Ph: (763) 370-0243 |
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