Dr Mariah Dawn Laver Juanto, PHD in Grand Forks, ND - Medicare Clinical Psychologist Provider

Dr Mariah Dawn Laver Juanto, PHD is a medicare enrolled "Psychologist" provider in Grand Forks, North Dakota. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 2100 S Columbia Rd, Suite 202, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 772-1588.

Dr Mariah Dawn Laver Juanto is licensed to practice in * (Not Available) (license number ) 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 1629401567.

Contact Information

	Dr Mariah Dawn Laver Juanto, PHD
	2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895
	(701) 772-1588
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mariah Dawn Laver Juanto
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	2100 S Columbia Rd, 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 Mariah Dawn Laver Juanto graduated from medical school in 2013

NPI Data:

NPI Number: 1629401567
Provider Enumeration Date: 08/14/2013
Last Update Date: 08/14/2013

Medicare PECOS Information:

PECOS PAC ID: 5294953352
Enrollment ID: I20160209001962

Medical Identifiers

Medical identifiers for Dr Mariah Dawn Laver Juanto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629401567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1094

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 Mariah Dawn Laver Juanto 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: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

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 Mariah Dawn Laver Juanto 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 Mariah Dawn Laver Juanto, PHD 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 Ph: (701) 772-1588	Dr Mariah Dawn Laver Juanto, PHD 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 Ph: (701) 772-1588

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 Mariah Dawn Laver Juanto, PHD - Medicare Psychologist in Grand Forks, ND