Jeri Ann Azure, PHD in Belcourt, ND - Medicare Psychologist Provider

Jeri Ann Azure, PHD is a medicare enrolled "Psychologist - Clinical" provider in Belcourt, North Dakota. Her current practice location is 9775 Bia Road 9 Fl 2, Belcourt, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 477-0483.

Jeri Ann Azure is licensed to practice in North Dakota (license number 486) 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 1427377712.

Contact Information

	Jeri Ann Azure, PHD
	9775 Bia Road 9 Fl 2, Belcourt, ND 58316-2807
	(701) 477-0483
	(701) 477-0488

Map and Direction

Healthcare Provider's Profile

Full Name	Jeri Ann Azure
Gender	Female
Speciality	Psychologist - Clinical
Location	9775 Bia Road 9 Fl 2, Belcourt, 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: 1427377712
Provider Enumeration Date: 05/26/2010
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 4385875871
Enrollment ID: I20140602000449

Medical Identifiers

Medical identifiers for Jeri Ann Azure such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427377712	NPI	-	NPPES
01063	Medicaid	ND
350063	Other	ND	MEDICARE ID-TYPE UNSPECIFIED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	486 (North Dakota)	Secondary
103TC0700X	Psychologist - Clinical	486 (North Dakota)	Primary

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. Jeri Ann Azure allows following entities to bill medicare on her behalf.

Entity Name	Quentin N Burdick Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052

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. Jeri Ann Azure 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
Jeri Ann Azure, PHD Po Box 1149, Belcourt, ND 58316-1149 Ph: (701) 477-0483	Jeri Ann Azure, PHD 9775 Bia Road 9 Fl 2, Belcourt, ND 58316-2807 Ph: (701) 477-0483

Reviews and Comments

Psychologist in Belcourt, ND

Dr. Angela R Larocque, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility, Belcourt, ND 58316 Phone: 701-477-6111 Fax: 701-477-2509
Dr. Shelly Marie Peltier, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility, Belcourt, ND 58316 Phone: 701-477-8458 Fax: 701-477-2509
Dr. Tami S Jollie-trottier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1015 Hospital Rd, Suite A, Belcourt, ND 58316 Phone: 701-477-0428 Fax: 701-477-0488
Stephanie Parisien, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Loop, Belcourt, ND 58316 Phone: 701-477-6111 Fax: 701-477-2509

Jeri Ann Azure, PHD - Medicare Psychologist in Belcourt, ND