Dr Shirley J Rader, PHD in Detroit Lakes, MN - Medicare Psychologist Provider

Dr Shirley J Rader, PHD is a medicare enrolled "Psychologist - Counseling" provider in Detroit Lakes, Minnesota. Her current practice location is 801 Roosevelt Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 847-5401.

Dr Shirley J Rader is licensed to practice in Minnesota (license number LP3342) 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 1417953951.

Contact Information

	Dr Shirley J Rader, PHD
	801 Roosevelt Ave, Detroit Lakes, MN 56501-3703
	(218) 847-5401
	(218) 573-2350

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shirley J Rader
Gender	Female
Speciality	Psychologist - Counseling
Location	801 Roosevelt 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: 1417953951
Provider Enumeration Date: 06/21/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 9931147428
Enrollment ID: I20050425000845

Medical Identifiers

Medical identifiers for Dr Shirley J Rader such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417953951	NPI	-	NPPES
19698RAD	Other	ND	ND BLUE CROSS BLUE SHIELD
01019338	Other	MN	PREFERRED ONE PROVIDER #
6G302RA	Other	MN	MN BLUE CROSS BLUE SHIELD
10857	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	LP3342 (Minnesota)	Primary
103TC1900X	Psychologist - Counseling	320 (North Dakota)	Secondary

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 Shirley J Rader 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 Shirley J Rader, PHD Po Box 1594, Detroit Lakes, MN 56502-1594 Ph: (218) 847-5401	Dr Shirley J Rader, PHD 801 Roosevelt Ave, Detroit Lakes, MN 56501-3703 Ph: (218) 847-5401

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 - Medicare Psychologist in Detroit Lakes, MN