Mary G Mattison-wynn, PSY D LP in Buffalo, MN - Medicare Clinical Psychologist Provider

Mary G Mattison-wynn, PSY D LP is a medicare enrolled "Psychologist" provider in Buffalo, Minnesota. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 30 1st Ave Ne # 12, Buffalo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 670-8918.

Mary G Mattison-wynn is licensed to practice in Minnesota (license number LP4961) 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 1649202755.

Contact Information

	Mary G Mattison-wynn, PSY D LP
	30 1st Ave Ne # 12, Buffalo, MN 55313-1515
	(612) 670-8918
	(952) 300-8194

Map and Direction

Healthcare Provider's Profile

Full Name	Mary G Mattison-wynn
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	30 1st Ave Ne # 12, Buffalo, 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:

Mary G Mattison-wynn graduated from medical school in 2000

NPI Data:

NPI Number: 1649202755
Provider Enumeration Date: 07/07/2006
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 2466450143
Enrollment ID: I20081119000074

Medical Identifiers

Medical identifiers for Mary G Mattison-wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649202755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4961 (Minnesota)	Secondary
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	LP4961 (Minnesota)	Primary

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. Mary G Mattison-wynn allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Woodhaven Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124639190 PECOS PAC ID: 2961819289 Enrollment ID: O20210401000879

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. Mary G Mattison-wynn 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
Mary G Mattison-wynn, PSY D LP Po Box 80, Hamel, MN 55340-0080 Ph: (612) 670-8918	Mary G Mattison-wynn, PSY D LP 30 1st Ave Ne # 12, Buffalo, MN 55313-1515 Ph: (612) 670-8918

Reviews and Comments

Psychologist in Buffalo, MN

Mr. Monique Massa Miller, MS LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Lori Gildersleeve, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420 Fax: 763-682-5803
Mary Marty, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420 Fax: 763-682-5803
Lorraine Hoffman, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420
Thomas Daniel, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 25 N, Suite 108, Buffalo, MN 55313 Phone: 763-682-2011 Fax: 763-682-2165
Dr. Emily Behrend Urke, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400
Alex Macalena Jr., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420

Mary G Mattison-wynn, PSY D LP - Medicare Psychologist in Buffalo, MN