Dr Mitchell Thomas Wittenberg, PHD, LP in St. Paul, MN - Medicare Clinical Psychologist Provider

Dr Mitchell Thomas Wittenberg, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in St. Paul, Minnesota. He graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Jewish Family Service Of St. Paul and his current practice location is Jewish Family Service Of St. Paul, 1633 West Seventh Street, St. Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 698-0767.

Dr Mitchell Thomas Wittenberg is licensed to practice in Minnesota (license number LP3061) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457429466.

Contact Information

	Dr Mitchell Thomas Wittenberg, PHD, LP
	Jewish Family Service Of St. Paul, 1633 West Seventh Street, St. Paul, MN 55102
	(651) 698-0767
	(651) 698-0162

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mitchell Thomas Wittenberg
Gender	Male
Speciality	Clinical Psychologist
Experience	39 Years
Location	Jewish Family Service Of St. Paul, St. Paul, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mitchell Thomas Wittenberg graduated from medical school in 1986

NPI Data:

NPI Number: 1457429466
Provider Enumeration Date: 11/30/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 4688861842
Enrollment ID: I20101214000668

Medical Identifiers

Medical identifiers for Dr Mitchell Thomas Wittenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457429466	NPI	-	NPPES
61-13693	Other	MN	UNITED BEHAVIORAL HEALTH
112501	Other	MN	HEALTHEAST CARE SYSTEM
7H396WI	Other	MN	BLUE CROSS BLUE SHIELD
104535	Other	MN	UCARE OF MN
20124	Other	MN	BEHAVIORAL HEALTHCARE PRO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP3061 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jewish Family Service Of St. Paul	5092896936	3

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 Mitchell Thomas Wittenberg allows following entities to bill medicare on his behalf.

Entity Name	Jewish Family Service Of St. Paul
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821165234 PECOS PAC ID: 5092896936 Enrollment ID: O20080116000591

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 Mitchell Thomas Wittenberg 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 Mitchell Thomas Wittenberg, PHD, LP 687 Decorah Ln, Mendota Heights, MN 55120-1672 Ph: (651) 454-0398	Dr Mitchell Thomas Wittenberg, PHD, LP Jewish Family Service Of St. Paul, 1633 West Seventh Street, St. Paul, MN 55102 Ph: (651) 698-0767

Reviews and Comments

Psychologist in St. Paul, MN

Reena Pathak, PSYD LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2550 University Ave W, Ste 229n, St. Paul, MN 55114 Phone: 651-645-3115 Fax: 651-645-2752
Dr. Shruti Dasgupta, LP,PHD Psychologist Medicare: Medicare Enrolled Practice Location: 649 Dayton Ave., St. Paul, MN 55104 Phone: 612-436-4840 Fax: 612-436-2604
Nina Aileen Sayer, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave W, Ste 229n, St. Paul, MN 55114 Phone: 651-645-3115 Fax: 651-645-2752
Dr. Elizabeth Shryer Boyle, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1599 Selby Avenue, Suite 103, St. Paul, MN 55105 Phone: 651-789-4746 Fax: 651-393-5423
Ms. Ann L Henry, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 821 Raymond Ave., Ste. 100, St. Paul, MN 55114 Phone: 651-251-0369 Fax: 651-251-3072
Dr. Cynthia Lynne Johnson, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Mail Route 60222, St. Paul, MN 55102 Phone: 651-241-8565 Fax: 651-241-7168

Dr Mitchell Thomas Wittenberg, PHD, LP - Medicare Psychologist in St. Paul, MN