Carrie M Brower-breitwieser, PHD in Fargo, ND - Medicare Psychologist Provider

Carrie M Brower-breitwieser, PHD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. Her current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-4141.

Carrie M Brower-breitwieser is licensed to practice in North Dakota (license number 472) 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 1811231962.

Contact Information

	Carrie M Brower-breitwieser, PHD
	801 Broadway N, Fargo, ND 58102-3641
	(701) 234-4141
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carrie M Brower-breitwieser
Gender	Female
Speciality	Psychologist
Location	801 Broadway N, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811231962
Provider Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012

Medicare PECOS Information:

PECOS PAC ID: 2466604426
Enrollment ID: I20121220000431

Medical Identifiers

Medical identifiers for Carrie M Brower-breitwieser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811231962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	472 (North Dakota)	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. Carrie M Brower-breitwieser allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Carrie M Brower-breitwieser 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
Carrie M Brower-breitwieser, PHD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-4141	Carrie M Brower-breitwieser, PHD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-4141

Reviews and Comments

Psychologist in Fargo, ND

Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071
Gregory A Hauge, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906

Carrie M Brower-breitwieser, PHD - Medicare Psychologist in Fargo, ND