Dr Mark Anthon Lott, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Loveland, Colorado. His current practice location is
1635 Foxtrail Dr # 108, Loveland, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 615-8444.
Dr Mark Anthon Lott is licensed to practice in Colorado (license number PSY.0005495) 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 1053820068.
Healthcare Provider's Profile
Full Name | Dr Mark Anthon Lott |
---|
Gender | Male |
---|
Speciality | Clinical Neuropsychologist |
---|
Location | 1635 Foxtrail Dr # 108, Loveland, Colorado |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053820068
- Provider Enumeration Date: 09/21/2017
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537568829
- Enrollment ID: I20210518001550
Medical Identifiers
Medical identifiers for Dr Mark Anthon Lott such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053820068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY.0005495 (Colorado) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 37747 (Texas) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY.0005495 (Colorado) | 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 Mark Anthon Lott allows following entities to bill medicare on his behalf.
Entity Name | University Physicians Incorporated |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
---|
Entity Name | Neuropsychological Solutions, Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1619639937 PECOS PAC ID: 5597153007 Enrollment ID: O20211102000773 |
---|
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 Anthon Lott 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 Anthon Lott, PHD 464 Grange Ln, Johnstown, CO 80534-7827 Ph: (720) 615-8444 | Dr Mark Anthon Lott, PHD 1635 Foxtrail Dr # 108, Loveland, CO 80538-9086 Ph: (720) 615-8444 |
Reviews and Comments