Marie A Diaz Varona, PSYD, LP in Maple Grove, MN - Medicare Clinical Psychologist Provider

Marie A Diaz Varona, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Maple Grove, Minnesota. She went to Ponce School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Park Nicollet Clinic and her current practice location is 9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-1440.

Marie A Diaz Varona is licensed to practice in Minnesota (license number LP6508) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720611148.

Contact Information

	Marie A Diaz Varona, PSYD, LP
	9555 Upland Ln N, Maple Grove, MN 55369-4485
	(952) 993-1440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marie A Diaz Varona
Gender	Female
Speciality	Clinical Psychologist
Experience	7 Years
Location	9555 Upland Ln N, Maple Grove, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marie A Diaz Varona attended and graduated from Ponce School Of Medicine in 2017

NPI Data:

NPI Number: 1720611148
Provider Enumeration Date: 02/13/2020
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 0244661122
Enrollment ID: I20200508001082

Medical Identifiers

Medical identifiers for Marie A Diaz Varona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720611148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6508 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. Marie A Diaz Varona allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Marie A Diaz Varona 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
Marie A Diaz Varona, PSYD, LP 9555 Upland Ln N, Maple Grove, MN 55369-4485 Ph: (952) 993-1440	Marie A Diaz Varona, PSYD, LP 9555 Upland Ln N, Maple Grove, MN 55369-4485 Ph: (952) 993-1440

Reviews and Comments

Psychologist in Maple Grove, MN

Michelle K. Pemble-frazey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440
Sally Rose Brinza, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7225 Forestview Ln N, Maple Grove, MN 55369 Phone: 612-978-5058 Fax: 763-201-1095
Dr. Michaela Monetti, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Dr. Jennifer G Enstad, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7372 Kirkwood Ct, Maple Grove, MN 55369 Phone: 763-416-4167 Fax: 763-416-4137
Dr. Matthew Kingsbury, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11316 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-8000 Fax: 763-400-8000
Dr. Rochelle Elizabeth Mccourtney Gredvig, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120
Dr. Teresa Biehn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440

Marie A Diaz Varona, PSYD, LP - Medicare Psychologist in Maple Grove, MN