Marc Mooney, PHD in Spring Lake Park, MN - Medicare Clinical Psychologist Provider

Marc Mooney, PHD is a medicare enrolled "Psychologist - Clinical" provider in Spring Lake Park, Minnesota. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Expanse - A Minnesota Mental Health Ketamine And Psychedelic Psychothe and his current practice location is 7766 Highway 65 Ne, Spring Lake Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 205-4843.

Marc Mooney is licensed to practice in Minnesota (license number LP4773) 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 1104960061.

Contact Information

	Marc Mooney, PHD
	7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832
	(763) 205-4843
	(612) 416-2085

Map and Direction

Healthcare Provider's Profile

Full Name	Marc Mooney
Gender	Male
Speciality	Clinical Psychologist
Experience	23 Years
Location	7766 Highway 65 Ne, Spring Lake Park, Minnesota
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:

Marc Mooney graduated from medical school in 2003

NPI Data:

NPI Number: 1104960061
Provider Enumeration Date: 02/16/2007
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1951481456
Enrollment ID: I20080109000868

Medical Identifiers

Medical identifiers for Marc Mooney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104960061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP4773 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	LP4773 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Expanse - A Minnesota Mental Health Ketamine And Psychedelic Psychothe	3779940937	6

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. Marc Mooney allows following entities to bill medicare on his behalf.

Entity Name	St Croix Psychiatric Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166

Entity Name	Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528726775 PECOS PAC ID: 3779940937 Enrollment ID: O20230601002840

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. Marc Mooney 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
Marc Mooney, PHD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843	Marc Mooney, PHD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843

Reviews and Comments

Psychologist in Spring Lake Park, MN

Paul Joseph Hildebrant, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-780-3036
Ms. Angela Folie, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1485 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-780-3036
Ms. Jean Linda Udesen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Avenue North East, Spring Lake Park, MN 55432 Phone: 763-780-3036 Fax: 763-780-0784
Ms. Susan S Hartman, M.A. , L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-780-3036 Fax: 763-780-0784
Ms. Paula M. Okorafor, M.A.,L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-780-3036
Tracey Shoemaker, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1485 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-780-3036

Marc Mooney, PHD - Medicare Psychologist in Spring Lake Park, MN