Dr Lea Berentson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bottineau, North Dakota. Her current practice location is
10110 Lake Road, Bottineau, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 389-7963.
Dr Lea Berentson is licensed to practice in North Dakota (license number 487) 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 1295156495.
Healthcare Provider's Profile
| Full Name | Dr Lea Berentson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 10110 Lake Road, Bottineau, 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: 1295156495
- Provider Enumeration Date: 12/16/2013
- Last Update Date: 05/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678703683
- Enrollment ID: I20140312001662
Medical Identifiers
Medical identifiers for Dr Lea Berentson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295156495 | NPI | - | NPPES |
| 1453145 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 487 (North Dakota) | Primary |
| 103T00000X | Psychologist | 487 (North Dakota) | 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. Dr Lea Berentson allows following entities to bill medicare on her behalf.
| Entity Name | St Alexius Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205868429
PECOS PAC ID: 8426960865
Enrollment ID: O20031104000146 |
|---|
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 Lea Berentson 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 Lea Berentson, PSYD
Po Box 267,
Bottineau, ND 58318-0267
Ph: (701) 389-7963 | Dr Lea Berentson, PSYD
10110 Lake Road,
Bottineau, ND 58318
Ph: (701) 389-7963 |
Reviews and Comments