Red Door Pediatric Therapy - Medicare Mental Health Clinic in Bismarck, ND

Red Door Pediatric Therapy is a medicare enrolled mental health clinic (Speech-language Pathologist) in Bismarck, North Dakota. The current practice location for Red Door Pediatric Therapy is 2625 N 19th St, Bismarck, North Dakota. For appointments, you can reach them via phone at (701) 222-3175. The mailing address for Red Door Pediatric Therapy is 2625 N 19th St, Bismarck, North Dakota and phone number is (701) 222-3175.

Red Door Pediatric Therapy is licensed to practice in North Dakota (license number 862). The clinic also participates in the medicare program and its NPI number is 1639257033. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 222-3175.

Contact Information

Red Door Pediatric Therapy
2625 N 19th St
Bismarck
ND 58503-0574
(701) 222-3175
(701) 222-3186

Map and Direction


Mental Health Clinic Profile

Full NameRed Door Pediatric Therapy
SpecialitySpeech-Language Pathologist
Location2625 N 19th St, Bismarck, North Dakota
Authorized Official Name and PositionTia-lee Whitted (FINANCIAL SPECIALIST)
Authorized Official Contact7012145617
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Red Door Pediatric Therapy
2625 N 19th St
Bismarck
ND 58503-0574

Ph: (701) 222-3175
Red Door Pediatric Therapy
2625 N 19th St
Bismarck
ND 58503-0574

Ph: (701) 222-3175

NPI Details:

NPI Number1639257033
Provider Enumeration Date11/02/2006
Last Update Date08/21/2024
Certification Date08/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9739571647
Medicare Enrollment IDO20220126000470

Medical Identifiers

Medical identifiers for Red Door Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639257033NPI-NPPES
1454300MedicaidND
1459139MedicaidND
1465122MedicaidND
1474097MedicaidND
1454835MedicaidND
1454897MedicaidND
1466867MedicaidND
1477997MedicaidND
1480013MedicaidND
1451283MedicaidND
1461503MedicaidND
1463121MedicaidND
1481160MedicaidND
1450786MedicaidND
1452036MedicaidND
1461975MedicaidND
1469028MedicaidND
1469164MedicaidND
1477950MedicaidND
1480766MedicaidND
1480833MedicaidND
1452184MedicaidND
1464384MedicaidND
1477752MedicaidND
1454142MedicaidND
1465117MedicaidND
1466654MedicaidND
1467615MedicaidND
1468069MedicaidND
1468739MedicaidND
1470224MedicaidND
1476591MedicaidND
1459816MedicaidND
1464388MedicaidND
1452040MedicaidND
1477918MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist 908 (North Dakota)Secondary
235Z00000XSpeech-language Pathologist 862 (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. Red Door Pediatric Therapy acts as a billing entity for following providers:
Provider NameAlyssa Turner-strong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588262778
PECOS PAC ID: 2365854163
Enrollment ID: I20210125001534
Provider NameCrystal Baerwald
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1588144539
PECOS PAC ID: 1153660030
Enrollment ID: I20220228000302
Provider NameHannah E Scott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487179578
PECOS PAC ID: 2163801234
Enrollment ID: I20220620001885

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.