Dr Laurie Ann Brustad Kennedy, PHD in Grand Forks, ND - Medicare Clinical Psychologist Provider

Dr Laurie Ann Brustad Kennedy, PHD is a medicare enrolled "Psychologist - Clinical" provider in Grand Forks, North Dakota. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Center For Self-growth And Renewal, Pc and her current practice location is 600 Demers Ave, Suite 404, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 746-4400.

Dr Laurie Ann Brustad Kennedy is licensed to practice in North Dakota (license number 222) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326169921.

Contact Information

	Dr Laurie Ann Brustad Kennedy, PHD
	600 Demers Ave, Suite 404, Grand Forks, ND 58201-4599
	(701) 746-4400
	(701) 746-6034

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Laurie Ann Brustad Kennedy
Gender	Female
Speciality	Clinical Psychologist
Experience	33 Years
Location	600 Demers Ave, Grand Forks, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Laurie Ann Brustad Kennedy graduated from medical school in 1991

NPI Data:

NPI Number: 1326169921
Provider Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2264495886
Enrollment ID: I20041104001122

Medical Identifiers

Medical identifiers for Dr Laurie Ann Brustad Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326169921	NPI	-	NPPES
088174	Other		VALUE OPTIONS
BRU21835	Other	ND	BCBSND
HP1672	Other		HEALTH PARTNERS
11915	Medicaid	ND
308J3BR	Other	MN	BCBSMN
308J3BR	Other	MN	BLUE PLUS
204771047933	Other		PREFERRED ONE
5721265	Other		FIRST HEALTH
A002	Other		TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	222 (North Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Self-growth And Renewal, Pc	0042279788	3

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 Laurie Ann Brustad Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Center For Self-growth & Renewal, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265658967 PECOS PAC ID: 0042279788 Enrollment ID: O20041007000473

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 Laurie Ann Brustad Kennedy 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 Laurie Ann Brustad Kennedy, PHD 600 Demers Ave, Suite 404, Grand Forks, ND 58201-4599 Ph: (701) 746-4400	Dr Laurie Ann Brustad Kennedy, PHD 600 Demers Ave, Suite 404, Grand Forks, ND 58201-4599 Ph: (701) 746-4400

Reviews and Comments

Psychologist in Grand Forks, ND

Dr. Kara Brita Wettersten, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077
Ms. Leslie A Rowan, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2100 South Columbia Road, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077
Dr. Jonathan E Whalen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2808 17th Ave S, Grand Forks, ND 58201 Phone: 701-746-8376 Fax: 701-746-9872
Dr. Sue Ann Russell, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2704 Belmont Rd, Grand Forks, ND 58201 Phone: 701-746-8737 Fax: 701-746-4763
Dr. Kyle Patrick De Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588
Dr. Jeanine E. Kotschwar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077
Elizabeth J Luger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973

Dr Laurie Ann Brustad Kennedy, PHD - Medicare Psychologist in Grand Forks, ND