| Samantha Lynn Beauchman, | |
|
300 2nd Ave Ne, Jamestown, ND 58401-3373 | |
| (701) 253-4000 | |
| (701) 952-6019 |
| Full Name | Samantha Lynn Beauchman |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 13 Years |
| Location | 300 2nd Ave Ne, Jamestown, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922387950 | NPI | - | NPPES |
| 1922387950 | Medicaid | MN | |
| 17563 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1400 (Kansas) | Secondary |
| 103T00000X | Psychologist | LP5687 (Minnesota) | Secondary |
| 103T00000X | Psychologist | 497 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lynn Beauchman, Po Box 2168, Fargo, ND 58107-2168 Ph: (701) 234-2119 | Samantha Lynn Beauchman, 300 2nd Ave Ne, Jamestown, ND 58401-3373 Ph: (701) 253-4000 |
Jennifer Dawn Nitschke, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
Dr. Lincoln D. Coombs, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2605 Circle Dr, Jamestown, ND 58401 Phone: 701-253-3926 Fax: 701-253-3999 | |
Joel R Wilson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000 Fax: 701-253-4040 | |
Dr. Sandra K. Owens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2430 20th St Sw, Jamestown, ND 58401 Phone: 701-253-5300 Fax: 701-253-5402 | |
Mr. Nathaniel Stephenson, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2605 Circle Dr, Jamestown, ND 58401 Phone: 701-253-3650 | |
Dr. Cora Courage, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 715 10th St Se, Jamestown, ND 58401 Phone: 701-952-9600 | |
Dr. Joseph Belanger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2605 Circle Dr, Jamestown, ND 58401 Phone: 701-253-3027 Fax: 701-253-3999 |