Katrina Marie Dedona, PSYD in Dickinson, ND - Medicare Psychologist Provider

Katrina Marie Dedona, PSYD is a medicare enrolled "Psychologist" provider in Dickinson, North Dakota. Her current practice location is 1463 I94 Business Loop E, Dickinson, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 227-7500.

Katrina Marie Dedona is licensed to practice in North Dakota (license number 651P) 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 1770952111.

Contact Information

	Katrina Marie Dedona, PSYD
	1463 I94 Business Loop E, Dickinson, ND 58601-6434
	(701) 227-7500
	(701) 227-7575

Map and Direction

Healthcare Provider's Profile

Full Name	Katrina Marie Dedona
Gender	Female
Speciality	Psychologist
Location	1463 I94 Business Loop E, Dickinson, 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: 1770952111
Provider Enumeration Date: 09/16/2015
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 1658613971
Enrollment ID: I20190506002831

Medical Identifiers

Medical identifiers for Katrina Marie Dedona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770952111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5666 (North Carolina)	Secondary
103T00000X	Psychologist	651P (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. Katrina Marie Dedona allows following entities to bill medicare on her behalf.

Entity Name	Badlands Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124072525 PECOS PAC ID: 9739085499 Enrollment ID: O20031211000947

Entity Name	Lake Region Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669411930 PECOS PAC ID: 8426941436 Enrollment ID: O20040204000457

Entity Name	West Central Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226713 PECOS PAC ID: 6002801107 Enrollment ID: O20040419000160

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. Katrina Marie Dedona 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
Katrina Marie Dedona, PSYD 1463 I94 Business Loop E, Dickinson, ND 58601-6434 Ph: (701) 227-7500	Katrina Marie Dedona, PSYD 1463 I94 Business Loop E, Dickinson, ND 58601-6434 Ph: (701) 227-7500

Reviews and Comments

Psychologist in Dickinson, ND

Dr. Nancy A Gabbert, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 13th Ave W Ste 1, Dickinson, ND 58601 Phone: 701-227-7579 Fax: 701-227-7575
Christa Enebo, ED. S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 444 4th St W, Dickinson, ND 58601 Phone: 701-456-0002
Amber Rae Fridley, EDS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 444 4th St W, Dickinson, ND 58601 Phone: 701-456-0002
Madison Knodel, PSYS NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 444 4th St W, Dickinson, ND 58601 Phone: 701-456-0016
Dr. Renee L. Boomgaarden, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1463 I94 Business Loop E, Dickinson, ND 58601 Phone: 701-227-7500 Fax: 701-227-7575
Dr. Shelly Marie Hall, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 30 -7th St. W, Door A, Dickinson, ND 58601 Phone: 701-483-0230 Fax: 701-483-0231
Dr. Alan J Fehr, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 33 9th St W, Dickinson, ND 58601 Phone: 701-483-6017

Katrina Marie Dedona, PSYD - Medicare Psychologist in Dickinson, ND