Dr Deborah Susan Cavanaugh, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Belle Fourche, South Dakota. Her current practice location is
836 5th Ave, Belle Fourche, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(832) 604-3771.
Dr Deborah Susan Cavanaugh is licensed to practice in Minnesota (license number 45523) 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 1720171283.
Physician's Profile
| Full Name | Dr Deborah Susan Cavanaugh |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 836 5th Ave, Belle Fourche, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720171283
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557251899
- Enrollment ID: I20140224000589
Medical Identifiers
Medical identifiers for Dr Deborah Susan Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720171283 | NPI | - | NPPES |
| 7100513 | Medicaid | SD | |
| 7100518 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5199 (South Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD-23081 (Hawaii) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 45523 (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. Dr Deborah Susan Cavanaugh allows following entities to bill medicare on her behalf.
| Entity Name | Fairview Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461 |
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| Entity Name | Healtheast Medical Research Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507 |
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| Entity Name | Healtheast St John's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320 |
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| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548 |
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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 Deborah Susan Cavanaugh 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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Dr Deborah Susan Cavanaugh, MD
73-4331 Kakahiaka St,
Kailua Kona, HI 96740-9548
Ph: (605) 321-2549 | Dr Deborah Susan Cavanaugh, MD
836 5th Ave,
Belle Fourche, SD 57717-1607
Ph: (832) 604-3771 |
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