Mark Christopher Goetz, PHD is a medicare enrolled "Psychologist" provider in Champlin, Minnesota. His current practice location is
11269 Jefferson Hwy N, Champlin, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 236-0600.
Mark Christopher Goetz is licensed to practice in * (Not Available) (license number ) 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 1780978023.
Healthcare Provider's Profile
| Full Name | Mark Christopher Goetz |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 11269 Jefferson Hwy N, Champlin, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Christopher Goetz attended and graduated from in
NPI Data:
- NPI Number: 1780978023
- Provider Enumeration Date: 06/03/2011
- Last Update Date: 04/09/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark Christopher Goetz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780978023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | PY60230406 (Washington) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | PY60230406 (Washington) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY60230406 (Washington) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
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 Christopher Goetz 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 |
|---|
Mark Christopher Goetz, PHD
401 14th Ave Se,
Puyallup, WA 98372
Ph: (253) 697-2700 | Mark Christopher Goetz, PHD
11269 Jefferson Hwy N,
Champlin, MN 55316-3123
Ph: (763) 236-0600 |
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