Mary Mullenbach, PHD, LP in Minneapolis, MN - Medicare Clinical Psychologist Provider

Mary Mullenbach, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mary Mullenbach Phd Lp Inc and her current practice location is 6550 York Ave. S., Suite 503, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 426-3034.

Mary Mullenbach is licensed to practice in Minnesota (license number LP4360) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1235351826.

Contact Information

	Mary Mullenbach, PHD, LP
	6550 York Ave. S., Suite 503, Minneapolis, MN 55435
	(952) 426-3034
	(612) 540-0460

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Mullenbach
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	6550 York Ave. S., Minneapolis, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Mullenbach graduated from medical school in 2000

NPI Data:

NPI Number: 1235351826
Provider Enumeration Date: 05/03/2007
Last Update Date: 09/06/2018

Medicare PECOS Information:

PECOS PAC ID: 7810893690
Enrollment ID: I20031211000491

Medical Identifiers

Medical identifiers for Mary Mullenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235351826	NPI	-	NPPES
1235351826	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP4360 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mary Mullenbach Phd Lp Inc	5799950283	12

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. Mary Mullenbach allows following entities to bill medicare on her behalf.

Entity Name	Mary Mullenbach Phd Lp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801182837 PECOS PAC ID: 5799950283 Enrollment ID: O20111212000760

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. Mary Mullenbach 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
Mary Mullenbach, PHD, LP 6550 York Ave. S., Suite 503, Minneapolis, MN 55435-2336 Ph: (952) 426-3034	Mary Mullenbach, PHD, LP 6550 York Ave. S., Suite 503, Minneapolis, MN 55435 Ph: (952) 426-3034

Reviews and Comments

Psychologist in Minneapolis, MN

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Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Mary Mullenbach, PHD, LP - Medicare Psychologist in Minneapolis, MN