Dr Brennan Dale Atherton, PHD - Medicare Psychologist in Grand Forks, ND

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Dr Brennan Dale Atherton, PHD is a medicare enrolled "Psychologist - Clinical" provider in Grand Forks, North Dakota. His current practice location is 151 S 4th St Ste 401, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 795-3000.

Dr Brennan Dale Atherton is licensed to practice in North Dakota (license number 585) 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 1215319330.

Contact Information

Dr Brennan Dale Atherton, PHD
151 S 4th St Ste 401,
Grand Forks, ND 58201-4715
(701) 795-3000
(801) 373-0639

Map and Direction




Healthcare Provider's Profile

Full NameDr Brennan Dale Atherton
GenderMale
SpecialityPsychologist - Clinical
Location151 S 4th St Ste 401, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215319330
  • Provider Enumeration Date: 06/25/2015
  • Last Update Date: 05/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981027190
  • Enrollment ID: I20200707001484

Medical Identifiers

Medical identifiers for Dr Brennan Dale Atherton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215319330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 585 (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 Brennan Dale Atherton allows following entities to bill medicare on his behalf.
Entity NameNorthwest Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770524613
PECOS PAC ID: 4183683196
Enrollment ID: O20041006000330
Entity NameCenter For Self-growth & Renewal, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265658967
PECOS PAC ID: 0042279788
Enrollment ID: O20041007000473
Entity NameVolk Human Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003009457
PECOS PAC ID: 3173606019
Enrollment ID: O20080214000558
Entity NamePrairie River Therapy And Assessments
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912788357
PECOS PAC ID: 0345690087
Enrollment ID: O20231221001784

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 Brennan Dale Atherton 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 Brennan Dale Atherton, PHD
151 S 4th St Ste 401,
Grand Forks, ND 58201-4715

Ph: (701) 795-3000		Dr Brennan Dale Atherton, PHD
151 S 4th St Ste 401,
Grand Forks, ND 58201-4715

Ph: (701) 795-3000

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.