Mark A Ginsberg, PHD - Medicare Psychologist in Durham, NC

Mark A Ginsberg, PHD is a medicare enrolled "Psychologist" provider in Durham, North Carolina. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychological Healthcare Pllc and his current practice location is 4125 Ben Franklin Blvd, Suite 160, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (315) 247-5947.

Mark A Ginsberg is licensed to practice in North Carolina (license number 4450) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164532271.

Contact Information

Mark A Ginsberg, PHD
4125 Ben Franklin Blvd, Suite 160,
Durham, NC 27704-2167
(315) 247-5947
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMark A Ginsberg
GenderMale
SpecialityClinical Psychologist
Experience49 Years
Location4125 Ben Franklin Blvd, Durham, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark A Ginsberg graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1164532271
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 05/02/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9931278363
  • Enrollment ID: I20080527000337

Medical Identifiers

Medical identifiers for Mark A Ginsberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164532271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 4450 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Psychological Healthcare Pllc741686057231

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. Mark A Ginsberg allows following entities to bill medicare on his behalf.
Entity NamePsychological Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922109578
PECOS PAC ID: 7416860572
Enrollment ID: O20040317000828
Entity NamePsychiatry Services Of New York, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013781871
PECOS PAC ID: 9133534340
Enrollment ID: O20210222001872

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. Mark A Ginsberg 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 AddressPractice Location Address
Mark A Ginsberg, PHD
4125 Ben Franklin Blvd, Suite 160,
Durham, NC 27704-2167

Ph: (315) 247-5947
Mark A Ginsberg, PHD
4125 Ben Franklin Blvd, Suite 160,
Durham, NC 27704-2167

Ph: (315) 247-5947

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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