Mark T Barisa, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Frisco, Texas. His current practice location is
4645 Avon Ln Ste 285, Frisco, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 632-0033.
Mark T Barisa is licensed to practice in Texas (license number 34011) 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 1417960840.
Healthcare Provider's Profile
| Full Name | Mark T Barisa |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4645 Avon Ln Ste 285, Frisco, Texas |
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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 T Barisa attended and graduated from in
NPI Data:
- NPI Number: 1417960840
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark T Barisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417960840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 34011 (Texas) | Secondary |
| 103TC1900X | Psychologist - Counseling | 34011 (Texas) | Secondary |
| 103TE1100X | Psychologist - Exercise & Sports | 34011 (Texas) | Secondary |
| 103TH0004X | Psychologist - Health | 34011 (Texas) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 34011 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 34011 (Texas) | Primary |
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 T Barisa 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 |
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Mark T Barisa, PHD
Po Box 6001,
Frisco, TX 75035-0225
Ph: (469) 400-6230 | Mark T Barisa, PHD
4645 Avon Ln Ste 285,
Frisco, TX 75033-1609
Ph: (972) 632-0033 |
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