Thomas Ugelstad, PMHNP-BC in Fargo, ND - Medicare Nurse Practitioner

Thomas Ugelstad, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fargo, North Dakota. His current practice location is 4656 Amber Valley Pkwy S Ste 102, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 251-0551.

Thomas Ugelstad is licensed to practice in North Dakota (license number R46309) 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 1285373738.

Contact Information

	Thomas Ugelstad, PMHNP-BC
	4656 Amber Valley Pkwy S Ste 102, Fargo, ND 58104-4594
	(701) 251-0551
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas Ugelstad
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4656 Amber Valley Pkwy S Ste 102, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285373738
Provider Enumeration Date: 06/02/2022
Last Update Date: 10/13/2024

Medicare PECOS Information:

PECOS PAC ID: 4486024411
Enrollment ID: I20230106002692

Medical Identifiers

Medical identifiers for Thomas Ugelstad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285373738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R46309 (North Dakota)	Primary
163W00000X	Registered Nurse	R46309 (North Dakota)	Secondary

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. Thomas Ugelstad allows following entities to bill medicare on his behalf.

Entity Name	St. Sophie's Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336443654 PECOS PAC ID: 7113195074 Enrollment ID: O20110719000878

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. Thomas Ugelstad 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 Address	Practice Location Address
Thomas Ugelstad, PMHNP-BC 4656 Amber Valley Pkwy S Ste 102, Fargo, ND 58104-4594 Ph: (701) 251-0551	Thomas Ugelstad, PMHNP-BC 4656 Amber Valley Pkwy S Ste 102, Fargo, ND 58104-4594 Ph: (701) 251-0551

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561

Thomas Ugelstad, PMHNP-BC - Medicare Nurse Practitioner in Fargo, ND