Dr Shelly Marie Peltier, PHD - Medicare Psychologist in Belcourt, ND

Dr Shelly Marie Peltier, PHD is a medicare enrolled "Psychologist - Clinical" provider in Belcourt, North Dakota. Her current practice location is 1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility, Belcourt, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 477-8458.

Dr Shelly Marie Peltier is licensed to practice in North Dakota (license number 371) 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 1467504449.

Contact Information

Dr Shelly Marie Peltier, PHD
1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility,
Belcourt, ND 58316
(701) 477-8458
(701) 477-2509



Healthcare Provider's Profile

Full NameDr Shelly Marie Peltier
GenderFemale
SpecialityPsychologist - Clinical
Location1300 Hospital Loop, Belcourt, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467504449
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 01/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8820245491
  • Enrollment ID: I20120904000700

Medical Identifiers

Medical identifiers for Dr Shelly Marie Peltier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467504449NPI-NPPES
1460757MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 371 (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. Dr Shelly Marie Peltier allows following entities to bill medicare on her behalf.
Entity NameQuentin N Burdick Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952346934
PECOS PAC ID: 5496651853
Enrollment ID: O20031208001052

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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. Dr Shelly Marie Peltier 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
Dr Shelly Marie Peltier, PHD
1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility,
Belcourt, ND 58316

Ph: (701) 477-8458
Dr Shelly Marie Peltier, PHD
1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility,
Belcourt, ND 58316

Ph: (701) 477-8458

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Psychologist in Belcourt, ND

Dr. Angela R Larocque, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1300 Hospital Loop, Quentin N. Burdick Memorial Health Care Facility, Belcourt, ND 58316
Phone: 701-477-6111    Fax: 701-477-2509
Jeri Ann Azure, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 9775 Bia Road 9 Fl 2, Belcourt, ND 58316
Phone: 701-477-0483    Fax: 701-477-0488
Dr. Tami S Jollie-trottier, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1015 Hospital Rd, Suite A, Belcourt, ND 58316
Phone: 701-477-0428    Fax: 701-477-0488
Stephanie Parisien,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Hospital Loop, Belcourt, ND 58316
Phone: 701-477-6111    Fax: 701-477-2509

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