Matthew John Conetta, PSYD, LP in Mankato, MN - Medicare Psychologist Provider

Matthew John Conetta, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Mankato, Minnesota. His current practice location is 1400 Madison Ave Ste 352, Mankato, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 625-1811.

Matthew John Conetta is licensed to practice in Minnesota (license number LP6658) 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 1083299531.

Contact Information

	Matthew John Conetta, PSYD, LP
	1400 Madison Ave Ste 352, Mankato, MN 56001-4458
	(507) 625-1811
	(507) 387-7785

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew John Conetta
Gender	Male
Speciality	Psychologist - Clinical
Location	1400 Madison Ave Ste 352, Mankato, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083299531
Provider Enumeration Date: 03/16/2021
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1254740236
Enrollment ID: I20210503002462

Medical Identifiers

Medical identifiers for Matthew John Conetta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083299531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6658 (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. Matthew John Conetta allows following entities to bill medicare on his behalf.

Entity Name	Mankato Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231

Entity Name	Open Door Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891740908 PECOS PAC ID: 7012944085 Enrollment ID: O20150930001410

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. Matthew John Conetta 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
Matthew John Conetta, PSYD, LP Po Box 8674, Mankato, MN 56002-8674 Ph: (507) 389-8507	Matthew John Conetta, PSYD, LP 1400 Madison Ave Ste 352, Mankato, MN 56001-4458 Ph: (507) 625-1811

Reviews and Comments

Psychologist in Mankato, MN

Elizabeth Ann Quinby, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1028 Woodland Ave, Mankato, MN 56001 Phone: 319-493-8773
Ms. Janice Mary Boyum, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 South 2nd St., Mankato, MN 56001 Phone: 507-625-7660 Fax: 507-625-8998
Dr. Theodore Surdy, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1227 Caledonia St, Mankato, MN 56001 Phone: 507-388-8874 Fax: 507-685-4807
Dr. Kimberly Ann Haala, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Dr. Nancy Fenrick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Reed St, Suite 115, Mankato, MN 56001 Phone: 507-625-4060 Fax: 507-625-3915
Rosean Bishop, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031

Matthew John Conetta, PSYD, LP - Medicare Psychologist in Mankato, MN