Carrie M Brower-breitwieser, PHD - Medicare Psychologist in Fargo, ND

Carrie M Brower-breitwieser, PHD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. Her current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-4141.

Carrie M Brower-breitwieser is licensed to practice in North Dakota (license number 472) 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 1811231962.

Contact Information

Carrie M Brower-breitwieser, PHD
801 Broadway N,
Fargo, ND 58102-3641
(701) 234-4141
Not Available



Healthcare Provider's Profile

Full NameCarrie M Brower-breitwieser
GenderFemale
SpecialityPsychologist
Location801 Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811231962
  • Provider Enumeration Date: 11/15/2012
  • Last Update Date: 11/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466604426
  • Enrollment ID: I20121220000431

Medical Identifiers

Medical identifiers for Carrie M Brower-breitwieser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811231962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 472 (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. Carrie M Brower-breitwieser allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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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. Carrie M Brower-breitwieser 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 AddressPractice Location Address
Carrie M Brower-breitwieser, PHD
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-4141
Carrie M Brower-breitwieser, PHD
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-4141

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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: Medicare Enrolled
Practice Location: 100 4th St S Ste 302, Fargo, ND 58103
Phone: 701-234-4587    
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: Medicare Enrolled
Practice Location: 100 4th St S, Fargo, ND 58103
Phone: 701-234-2000    
Jay Robert Phillippi, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102
Phone: 701-866-3641    Fax: 701-660-1071
Gregory A Hauge, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1702 University Dr S, Fargo, ND 58103
Phone: 701-364-3300    Fax: 701-364-8906

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