Dr Mark Elmer Sundby, PHD in New Brighton, MN - Medicare Psychologist Provider

Dr Mark Elmer Sundby, PHD is a medicare enrolled "Psychologist - Counseling" provider in New Brighton, Minnesota. His current practice location is 516 Mission House Ln, New Brighton, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 636-5120.

Dr Mark Elmer Sundby is licensed to practice in Minnesota (license number LP4114) 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 1710278502.

Contact Information

	Dr Mark Elmer Sundby, PHD
	516 Mission House Ln, New Brighton, MN 55112-2571
	(651) 636-5120
	(651) 636-5124

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Elmer Sundby
Gender	Male
Speciality	Psychologist - Counseling
Location	516 Mission House Ln, 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: 1710278502
Provider Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011

Medicare PECOS Information:

PECOS PAC ID: 3577793272
Enrollment ID: I20140225001177

Medical Identifiers

Medical identifiers for Dr Mark Elmer Sundby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710278502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	LP4114 (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 Mark Elmer Sundby allows following entities to bill medicare on his behalf.

Entity Name	North Central Ministry Development Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164711735 PECOS PAC ID: 7214346345 Enrollment ID: O20210503000006

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 Elmer Sundby 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 Elmer Sundby, PHD 516 Mission House Ln, New Brighton, MN 55112-2571 Ph: (651) 636-5120	Dr Mark Elmer Sundby, PHD 516 Mission House Ln, New Brighton, MN 55112-2571 Ph: (651) 636-5120

Reviews and Comments

Psychologist in New Brighton, MN

Kimberlee Ann Comfort, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-4532 Fax: 651-633-9311
Mary Lou Honstead, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 Mission House Ln, New Brighton, MN 55112 Phone: 651-636-5120 Fax: 651-636-5124
Dr. Rachel Rose Hulkonen, PSY.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 160, New Brighton, MN 55112 Phone: 612-706-9630 Fax: 612-706-9617
David Kearn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw, #110, New Brighton, MN 55112 Phone: 651-628-9566
Dr. Roy John Sutherland, PHD, ABPP,LADC,MHA Psychologist Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-628-9566
Dr. Cheryl Lynn Schultz, PSYD LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112 Phone: 651-482-9361 Fax: 651-482-9888
Christopher Pfleghaar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 160, New Brighton, MN 55112 Phone: 612-706-9630

Dr Mark Elmer Sundby, PHD - Medicare Psychologist in New Brighton, MN