Mr James T Molberg, LP in Pine City, MN - Medicare Psychologist Provider

Mr James T Molberg, LP is a medicare enrolled "Psychologist" provider in Pine City, Minnesota. His current practice location is 900 Golf Ave Sw, Pine City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 629-7600.

Mr James T Molberg is licensed to practice in Minnesota (license number LP3801) 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 1649265281.

Contact Information

	Mr James T Molberg, LP
	900 Golf Ave Sw, Pine City, MN 55063-5015
	(320) 629-7600
	(320) 629-7900

Map and Direction

Healthcare Provider's Profile

Full Name	Mr James T Molberg
Gender	Male
Speciality	Psychologist
Location	900 Golf Ave Sw, Pine City, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649265281
Provider Enumeration Date: 09/20/2005
Last Update Date: 09/30/2011

Medicare PECOS Information:

PECOS PAC ID: 1355794124
Enrollment ID: I20240129000432

Medical Identifiers

Medical identifiers for Mr James T Molberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649265281	NPI	-	NPPES
114812	Other	MN	UCARE MN
6253648	Other	MN	UNITED BEHAVIORAL HEALTH
1032821	Other	MN	BEHAVIORAL HEALTHCARE PRO
522222200	Medicaid	MN
HP37571	Other		HEALTH PARTNERS
233J0M0	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP3801 (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. Mr James T Molberg allows following entities to bill medicare on his behalf.

Entity Name	Therapeutic Services Agency Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497741607 PECOS PAC ID: 4981877891 Enrollment ID: O20111109000030

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. Mr James T Molberg 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
Mr James T Molberg, LP 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600	Mr James T Molberg, LP 900 Golf Ave Sw, Pine City, MN 55063-5015 Ph: (320) 629-7600

Reviews and Comments

Psychologist in Pine City, MN

Dr. Kari Michelle-ferber Maynard, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 520 2nd Ave Se, Pine City, MN 55063 Phone: 320-322-5130
Jeffrey Pounds, LP Psychologist Medicare: Medicare Enrolled Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900
Katherine Elizabeth Johnson, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071
Mr. Scott Robert Emmons, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Golf Ave Sw, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900

Mr James T Molberg, LP - Medicare Psychologist in Pine City, MN