Dr Marybeth Mackin, PHD in Bayonne, NJ - Medicare Psychologist Provider

Dr Marybeth Mackin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bayonne, New Jersey. Her current practice location is 497 Broadway, Room 2, Bayonne, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 437-4200.

Dr Marybeth Mackin is licensed to practice in New Jersey (license number 3214) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750467023.

Contact Information

	Dr Marybeth Mackin, PHD
	497 Broadway, Room 2, Bayonne, NJ 07002
	(201) 437-4200
	Not Available

Healthcare Provider's Profile

Full Name	Dr Marybeth Mackin
Gender	Female
Speciality	Psychologist - Clinical
Location	497 Broadway, Bayonne, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750467023
Provider Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355233131
Enrollment ID: I20040326000512

Medical Identifiers

Medical identifiers for Dr Marybeth Mackin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750467023	NPI	-	NPPES
3214	Other		NJ LICENSE
10858	Other		NY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3214 (New Jersey)	Primary
103TC0700X	Psychologist - Clinical	10858 (New York)	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. Dr Marybeth Mackin 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
Dr Marybeth Mackin, PHD 497 Broadway, Room 2, Bayonne, NJ 07002 Ph: (201) 437-4200	Dr Marybeth Mackin, PHD 497 Broadway, Room 2, Bayonne, NJ 07002 Ph: (201) 437-4200

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Dr Marybeth Mackin, PHD - Medicare Psychologist in Bayonne, NJ