Mark Eric Anderson, MA LP LMFT is a medicare enrolled "Psychologist - Clinical" provider in New Brighton, Minnesota. His current practice location is
900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 482-9361.
Mark Eric Anderson is licensed to practice in Minnesota (license number LP 3081) 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 1649372590.
Healthcare Provider's Profile
| Full Name | Mark Eric Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 900 Long Lake Rd, New Brighton, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1649372590
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 04/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991157950
- Enrollment ID: I20240116002323
Medical Identifiers
Medical identifiers for Mark Eric Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649372590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 1064 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP 3081 (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. Mark Eric Anderson allows following entities to bill medicare on his behalf.
| Entity Name | Arden Woods Psychological Services Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669576278
PECOS PAC ID: 3173429214
Enrollment ID: O20031210000312 |
|---|
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 Eric Anderson 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 |
|---|
Mark Eric Anderson, MA LP LMFT
900 Long Lake Rd, Suite 320 Arden Woods Psychological Services,
New Brighton, MN 55112-6428
Ph: (651) 482-9361 | Mark Eric Anderson, MA LP LMFT
900 Long Lake Rd, Suite 320 Arden Woods Psychological Services,
New Brighton, MN 55112-6428
Ph: (651) 482-9361 |
Reviews and Comments