Kenneth E Christianson, PHD - Medicare Psychologist in Fargo, ND

Kenneth E Christianson, PHD is a medicare enrolled "Psychologist - Psychoanalysis" provider in Fargo, North Dakota. His current practice location is 737 Broadway N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-4811.

Kenneth E Christianson is licensed to practice in Minnesota (license number LP0340) 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 1154349884.

Contact Information

Kenneth E Christianson, PHD
737 Broadway N,
Fargo, ND 58122-0001
(701) 234-4811
(701) 234-6979



Healthcare Provider's Profile

Full NameKenneth E Christianson
GenderMale
SpecialityPsychologist - Psychoanalysis
Location737 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: 1154349884
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103010277
  • Enrollment ID: I20101102001272

Medical Identifiers

Medical identifiers for Kenneth E Christianson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154349884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TP0814XPsychologist - Psychoanalysis LP0340 (Minnesota)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. Kenneth E Christianson allows following entities to bill medicare on his 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 NameNeuropsychology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669420923
PECOS PAC ID: 1557321825
Enrollment ID: O20041012001240

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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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› Verified 8 days ago

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. Kenneth E Christianson 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
Kenneth E Christianson, PHD
1720 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 234-4171
Kenneth E Christianson, PHD
737 Broadway N,
Fargo, ND 58122-0001

Ph: (701) 234-4811

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› Verified 8 days ago


Psychologist in Fargo, ND

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Medicare: Not Enrolled in Medicare
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Phone: 701-368-7400    
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Practice Location: 100 4th St S Ste 302, Fargo, ND 58103
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Ryan D Jagim, PHD
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Phone: 701-234-4141    Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D.
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Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103
Phone: 218-303-6164    
Dr. Ani Celine Mangold, PHD, LP
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Medicare: Medicare Enrolled
Practice Location: 100 4th St S, Fargo, ND 58103
Phone: 701-234-2000    
Jay Robert Phillippi, PH.D.
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Phone: 701-866-3641    Fax: 701-660-1071
Gregory A Hauge, PHD
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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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