Mr Michael Shawn Olaughlin, PHD in Fargo, ND - Medicare Psychologist Provider

Mr Michael Shawn Olaughlin, PHD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. His current practice location is 510 4th St South, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 476-7800.

Mr Michael Shawn Olaughlin is licensed to practice in North Dakota (license number 350) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790878957.

Contact Information

	Mr Michael Shawn Olaughlin, PHD
	510 4th St South, Fargo, ND 58103
	(701) 476-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael Shawn Olaughlin
Gender	Male
Speciality	Psychologist
Location	510 4th St South, Fargo, 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: 1790878957
Provider Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850437823
Enrollment ID: I20120105000690

Medical Identifiers

Medical identifiers for Mr Michael Shawn Olaughlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790878957	NPI	-	NPPES
11928	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	350 (North Dakota)	Primary
103T00000X	Psychologist	3493 (Minnesota)	Secondary

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. Mr Michael Shawn Olaughlin allows following entities to bill medicare on his behalf.

Entity Name	St Croix Psychiatric Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166

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. Mr Michael Shawn Olaughlin 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
Mr Michael Shawn Olaughlin, PHD 830 12th St North, Breckenridge, MN 56520 Ph: (218) 643-8714	Mr Michael Shawn Olaughlin, PHD 510 4th St South, Fargo, ND 58103 Ph: (701) 476-7800

Reviews and Comments

Psychologist in Fargo, ND

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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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

Mr Michael Shawn Olaughlin, PHD - Medicare Psychologist in Fargo, ND