Charlotte Marie Andersen, MD - Medicare Psychiatry & Neurology in Fargo, ND

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Charlotte Marie Andersen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fargo, North Dakota. Her current practice location is 510 4th Street S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 476-7200.

Charlotte Marie Andersen is licensed to practice in North Dakota (license number 10156) 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 1023111606.

Contact Information

Charlotte Marie Andersen, MD
510 4th Street S,
Fargo, ND 58107
(701) 476-7200
Not Available

Map and Direction




Physician's Profile

Full NameCharlotte Marie Andersen
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location510 4th Street S, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023111606
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779512678
  • Enrollment ID: I20071112000577

Medical Identifiers

Medical identifiers for Charlotte Marie Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023111606NPI-NPPES
13798OtherNDMEDICAID
26728OtherNDBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 10156 (North Dakota)Primary
2084P0800XPsychiatry & Neurology - Psychiatry MDR3657 (Missouri)Secondary

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. Charlotte Marie Andersen allows following entities to bill medicare on her behalf.
Entity NamePsj Acquisition Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679709802
PECOS PAC ID: 7012062235
Enrollment ID: O20090918000240

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. Charlotte Marie Andersen 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 AddressPractice Location Address
Charlotte Marie Andersen, MD
Po Box 143,
Badger, SD 57214

Ph: (605) 983-5087		Charlotte Marie Andersen, MD
510 4th Street S,
Fargo, ND 58107

Ph: (701) 476-7200

Reviews and Comments


Psychiatry & Neurology Doctors in Fargo, ND

Susan L Scarberry, MD
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Phone: 701-234-4036    Fax: 701-234-4160
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Dr. Lawana Marie Burtnett, M.D.
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Practice Location: 510 4th St S, Fargo, ND 58103
Phone: 701-476-7200    
Dr. Ravinda Samaraweera, M.D.
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Phone: 701-234-4036    Fax: 701-234-4160
Dr. Timothy T Vo, M.D.
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Practice Location: 2624 9th Ave S, Southeast Human Service Center, Fargo, ND 58103
Phone: 701-298-4500    Fax: 701-298-4400
Karis Antonia Stenback Irving, M.D.
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Practice Location: 2101 Elm St Ne, Fargo, ND 58102
Phone: 615-918-0639    Fax: 612-749-3990

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.