Dr Mark Elmer Sundby, PHD - Medicare Psychologist in New Brighton, MN

Dr Mark Elmer Sundby, PHD is a medicare enrolled "Psychologist - Counseling" provider in New Brighton, Minnesota. His current practice location is 516 Mission House Ln, New Brighton, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 636-5120.

Dr Mark Elmer Sundby is licensed to practice in Minnesota (license number LP4114) 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 1710278502.

Contact Information

Dr Mark Elmer Sundby, PHD
516 Mission House Ln,
New Brighton, MN 55112-2571
(651) 636-5120
(651) 636-5124

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark Elmer Sundby
GenderMale
SpecialityPsychologist - Counseling
Location516 Mission House Ln, New Brighton, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710278502
  • Provider Enumeration Date: 04/27/2011
  • Last Update Date: 04/27/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3577793272
  • Enrollment ID: I20140225001177

Medical Identifiers

Medical identifiers for Dr Mark Elmer Sundby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710278502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling LP4114 (Minnesota)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 Mark Elmer Sundby allows following entities to bill medicare on his behalf.
Entity NameNorth Central Ministry Development Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164711735
PECOS PAC ID: 7214346345
Enrollment ID: O20210503000006

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 Elmer Sundby 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 AddressPractice Location Address
Dr Mark Elmer Sundby, PHD
516 Mission House Ln,
New Brighton, MN 55112-2571

Ph: (651) 636-5120
Dr Mark Elmer Sundby, PHD
516 Mission House Ln,
New Brighton, MN 55112-2571

Ph: (651) 636-5120

Reviews and Comments


Psychologist in New Brighton, MN

Kimberlee Ann Comfort, MA, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112
Phone: 651-633-4532    Fax: 651-633-9311
Mary Lou Honstead, PH.D., L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 516 Mission House Ln, New Brighton, MN 55112
Phone: 651-636-5120    Fax: 651-636-5124
Dr. Rachel Rose Hulkonen, PSY.D., L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 900 Long Lake Rd Ste 160, New Brighton, MN 55112
Phone: 612-706-9630    Fax: 612-706-9617
David Kearn,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Silver Lake Rd Nw, #110, New Brighton, MN 55112
Phone: 651-628-9566    
Dr. Roy John Sutherland, PHD, ABPP,LADC,MHA
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1900 Silver Lake Rd Nw, New Brighton, MN 55112
Phone: 651-628-9566    
Dr. Cheryl Lynn Schultz, PSYD LP
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112
Phone: 651-482-9361    Fax: 651-482-9888
Christopher Pfleghaar,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 900 Long Lake Rd Ste 160, New Brighton, MN 55112
Phone: 612-706-9630    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.