| Dr Meryl G Willert, PHD | |
|
300 45th St Sw, Suite 311, Fargo, ND 58103-1189 | |
| (701) 837-6508 | |
| (701) 858-1839 |
| Full Name | Dr Meryl G Willert |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 300 45th St Sw, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346210499 | NPI | - | NPPES |
| 18694 | Medicaid | ND | |
| 28565 | Other | ND | BCBS - FARGO |
| 28552 | Other | BCBS - MINOT | |
| 58569 | Other | ND | BCBS - BISMARCK |
| 20281773958103A002 | Other | ND | TRICARE |
| 61-28263 | Other | MEDICA (UBH) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 287 (North Dakota) | Primary |
| Entity Name | Dakota Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114119989 PECOS PAC ID: 9335232198 Enrollment ID: O20070910000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Meryl G Willert, PHD Po Box 1148, Minot, ND 58702-1148 Ph: (701) 837-6508 | Dr Meryl G Willert, PHD 300 45th St Sw, Suite 311, Fargo, ND 58103-1189 Ph: (701) 837-6508 |
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, Fargo, ND 58103 Phone: 701-234-2000 | |
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: 1635 43rd St S Ste 105, Fargo, ND 58103 Phone: 218-287-4338 | |
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014 | |
Jay Robert Phillippi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071 |