Brian J Gatheridge, PHD in Detroit Lakes, MN - Medicare Clinical Psychologist Provider

Brian J Gatheridge, PHD is a medicare enrolled "Psychologist" provider in Detroit Lakes, Minnesota. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 846-2000.

Brian J Gatheridge is licensed to practice in Minnesota (license number LP4970) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043465644.

Contact Information

	Brian J Gatheridge, PHD
	1245 Washington Ave, Detroit Lakes, MN 56501-3905
	(218) 846-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian J Gatheridge
Gender	Male
Speciality	Clinical Psychologist
Experience	17 Years
Location	1245 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian J Gatheridge graduated from medical school in 2007

NPI Data:

NPI Number: 1043465644
Provider Enumeration Date: 11/24/2008
Last Update Date: 04/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4385707165
Enrollment ID: I20090106000627

Medical Identifiers

Medical identifiers for Brian J Gatheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043465644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103T00000X	Psychologist	LP4970 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

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. Brian J Gatheridge allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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. Brian J Gatheridge 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
Brian J Gatheridge, PHD 1219 S. Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000	Brian J Gatheridge, PHD 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000

Reviews and Comments

Psychologist in Detroit Lakes, MN

Dr. Tessie Blake, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1104 W River Rd, Detroit Lakes, MN 56501 Phone: 218-844-6853
Donald W Preussler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114
Dr. Gail Yvonne Pickett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2244
Dr. Elizabeth Evenson, PSY.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dr. Amy April Missling, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444
Dr. Shirley J Rader, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-5401 Fax: 218-573-2350

Brian J Gatheridge, PHD - Medicare Psychologist in Detroit Lakes, MN