Brownell Mack Iii, PSYD - Medicare in Minneapolis, MN

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Brownell Mack Iii, PSYD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Minneapolis, Minnesota. His current practice location is 1313 Penn Ave N, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 302-4600.

Brownell Mack Iii is licensed to practice in Minnesota (license number LP4548) 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 1023095627.

Contact Information

Brownell Mack Iii, PSYD
1313 Penn Ave N,
Minneapolis, MN 55411-3047
(612) 302-4600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrownell Mack Iii
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location1313 Penn Ave N, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023095627
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274557277
  • Enrollment ID: I20060117001091

Medical Identifiers

Medical identifiers for Brownell Mack Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023095627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP4548 (Minnesota)Primary
2084P0800XPsychiatry & Neurology - Psychiatry LP4548 (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. Brownell Mack Iii allows following entities to bill medicare on his behalf.
Entity NameAssociated Clinic Of Psychology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588741292
PECOS PAC ID: 0749171320
Enrollment ID: O20040323000833

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. Brownell Mack Iii 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 AddressPractice Location Address
Brownell Mack Iii, PSYD
1313 Penn Ave N,
Minneapolis, MN 55411-3047

Ph: (612) 302-4600		Brownell Mack Iii, PSYD
1313 Penn Ave N,
Minneapolis, MN 55411-3047

Ph: (612) 302-4600

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.