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

Dr Jonathan William Marin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Menasha, Wisconsin. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Thedacare Incorporated and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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	Clinical Psychologist
Experience	15 Years
Location	1095 Midway Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jonathan William Marin graduated from medical school in 2010

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare Incorporated	1759294887	533

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
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
John R Briggs, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300

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