Mark T Barisa, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Frisco, Texas. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
4645 Avon Ln Ste 285, Frisco, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 632-0033.
Mark T Barisa is licensed to practice in Texas (license number 34011) 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 1417960840.
Healthcare Provider's Profile
| Full Name | Mark T Barisa |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 29 Years |
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| Location | 4645 Avon Ln Ste 285, Frisco, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark T Barisa graduated from medical school in 1995
NPI Data:
- NPI Number: 1417960840
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032118070
- Enrollment ID: I20180906002628
Medical Identifiers
Medical identifiers for Mark T Barisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417960840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 34011 (Texas) | Secondary |
| 103TC1900X | Psychologist - Counseling | 34011 (Texas) | Secondary |
| 103TE1100X | Psychologist - Exercise & Sports | 34011 (Texas) | Secondary |
| 103TH0004X | Psychologist - Health | 34011 (Texas) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 34011 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 34011 (Texas) | 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. Mark T Barisa allows following entities to bill medicare on his behalf.
| Entity Name | Performance Neuropsychology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770082745
PECOS PAC ID: 7517217870
Enrollment ID: O20180906002496 |
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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. Mark T Barisa 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 |
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Mark T Barisa, PHD
Po Box 6001,
Frisco, TX 75035-0225
Ph: (469) 400-6230 | Mark T Barisa, PHD
4645 Avon Ln Ste 285,
Frisco, TX 75033-1609
Ph: (972) 632-0033 |
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