Dr Molly Suzanne Mazal, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Port Matilda, Pennsylvania. Her current practice location is
132 Abigail Ln, Port Matilda, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 272-7100.
Dr Molly Suzanne Mazal is licensed to practice in Pennsylvania (license number PS019964) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366225120.
Healthcare Provider's Profile
Full Name | Dr Molly Suzanne Mazal |
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Gender | Female |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 132 Abigail Ln, Port Matilda, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366225120
- Provider Enumeration Date: 08/16/2023
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729432703
- Enrollment ID: I20230925001995
Medical Identifiers
Medical identifiers for Dr Molly Suzanne Mazal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366225120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 9821716 (Pennsylvania) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | PS019964 (Pennsylvania) | 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 Molly Suzanne Mazal allows following entities to bill medicare on her behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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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 Molly Suzanne Mazal 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 Molly Suzanne Mazal, PHD Po Box 774, Lemont, PA 16851-0774 Ph: (609) 941-1646 | Dr Molly Suzanne Mazal, PHD 132 Abigail Ln, Port Matilda, PA 16870-7153 Ph: (814) 272-7100 |
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