Dr Jodi Rae Boerger Wilder, LP in Detroit Lakes, MN

Dr Jodi Rae Boerger Wilder, LP is a medicare enrolled "Psychologist" provider in Detroit Lakes, Minnesota. Her current practice location is 1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 846-2000.

Dr Jodi Rae Boerger Wilder is licensed to practice in Minnesota (license number LP4398) 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 1699744227.

Contact Information

	Dr Jodi Rae Boerger Wilder, LP
	1245 Washington Ave, Detroit Lakes, MN 56501-3905
	(218) 846-2000
	(218) 846-2114

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jodi Rae Boerger Wilder
Gender	Female
Speciality	Psychologist
Location	1245 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699744227
Provider Enumeration Date: 03/16/2006
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0840369013
Enrollment ID: I20080514000831

Medical Identifiers

Medical identifiers for Dr Jodi Rae Boerger Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699744227	NPI	-	NPPES
HP37004	Other		HEALTH PARTNERS
629899100	Medicaid	MN
1699744227	Medicaid	MN
22522	Other	ND	BCBS OF ND
1032397	Other		PREFERRED ONE
310T1B0	Other	MN	BCBS BHST
171126	Other	MN	UCARE ALTRU
6159749	Other	MN	UBH MEDICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP4398 (Minnesota)	Secondary
103T00000X	Psychologist	LP4398 (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 Jodi Rae Boerger Wilder allows following entities to bill medicare on her behalf.

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: O20110701000031

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 Jodi Rae Boerger Wilder 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 Jodi Rae Boerger Wilder, LP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Dr Jodi Rae Boerger Wilder, LP 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000

Reviews and Comments

Psychologist in Detroit Lakes, MN

Brian J Gatheridge, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dr. Tessie Blake, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1104 W River Rd, Detroit Lakes, MN 56501 Phone: 218-844-6853
Donald W Preussler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114
Dr. Gail Yvonne Pickett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2244
Dr. Elizabeth Evenson, PSY.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dr. Amy April Missling, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444
Dr. Shirley J Rader, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-5401 Fax: 218-573-2350

Dr Jodi Rae Boerger Wilder, LP - Medicare Psychologist in Detroit Lakes, MN