Mark Theodore Orth, LP is a
Psychologist - Clinical based in Mc Grath, Minnesota. Mark Theodore Orth is licensed to practice in Minnesota (license number LP4963) and his current practice location is
16809 260th Ave, Mc Grath, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 676-1757.
NPI number for Mark Theodore Orth is 1811149651 and his current mailing address is 16809 260th Ave, Mc Grath, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811149651.
Healthcare Provider's Profile
| Full Name | Mark Theodore Orth |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 16809 260th Ave, Mc Grath, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811149651
- Provider Enumeration Date: 10/10/2008
- Last Update Date: 10/10/2008
Medical Identifiers
Medical identifiers for Mark Theodore Orth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811149651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | LP4963 (Minnesota) | 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 Theodore Orth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Theodore Orth, LP
16809 260th Ave,
Mc Grath, MN 56350-4538
Ph: (320) 676-1757 | Mark Theodore Orth, LP
16809 260th Ave,
Mc Grath, MN 56350-4538
Ph: (320) 676-1757 |
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