Dr Christine Mathiowetz, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. Her current practice location is
2525 Chicago Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 220-6753.
Dr Christine Mathiowetz is licensed to practice in Minnesota (license number LP6178) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740799949.
Healthcare Provider's Profile
| Full Name | Dr Christine Mathiowetz |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2525 Chicago Ave, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740799949
- Provider Enumeration Date: 09/20/2017
- Last Update Date: 08/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981961422
- Enrollment ID: I20190916001493
Medical Identifiers
Medical identifiers for Dr Christine Mathiowetz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740799949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP6178 (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. Dr Christine Mathiowetz allows following entities to bill medicare on her behalf.
| Entity Name | Children's Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932208808
PECOS PAC ID: 2668370966
Enrollment ID: O20040406000939 |
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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. Dr Christine Mathiowetz 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 |
|---|
Dr Christine Mathiowetz, PSYD, LP
2525 Chicago Ave,
Minneapolis, MN 55404-4518
Ph: () - | Dr Christine Mathiowetz, PSYD, LP
2525 Chicago Ave,
Minneapolis, MN 55404
Ph: (612) 220-6753 |
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