Dr Mark Alan Rosenblom, PSYD LP in Minneapolis, MN - Medicare Clinical Psychologist Provider

Dr Mark Alan Rosenblom, PSYD LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Hennepin Healthcare System Inc and his current practice location is 920 E 28th St, Suite 700, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 863-9062.

Dr Mark Alan Rosenblom is licensed to practice in Minnesota (license number LP4815) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053526731.

Contact Information

	Dr Mark Alan Rosenblom, PSYD LP
	920 E 28th St, Suite 700, Minneapolis, MN 55407-1139
	(612) 863-9062
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Alan Rosenblom
Gender	Male
Speciality	Clinical Psychologist
Experience	18 Years
Location	920 E 28th St, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark Alan Rosenblom graduated from medical school in 2006

NPI Data:

NPI Number: 1053526731
Provider Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2163521774
Enrollment ID: I20070622000292

Medical Identifiers

Medical identifiers for Dr Mark Alan Rosenblom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053526731	NPI	-	NPPES
LP4815	Other	MN	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP4815 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hennepin County Medical Center 1	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hennepin Healthcare System Inc	4789684861	804

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 Mark Alan Rosenblom allows following entities to bill medicare on his behalf.

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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 Mark Alan Rosenblom 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 Mark Alan Rosenblom, PSYD LP 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 Ph: (612) 863-9062	Dr Mark Alan Rosenblom, PSYD LP 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 Ph: (612) 863-9062

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
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Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Mark Alan Rosenblom, PSYD LP - Medicare Psychologist in Minneapolis, MN