Katrina Marie Dedona, PSYD in Charlotte, NC - Medicare Psychologist Provider

Katrina Marie Dedona, PSYD is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. Her current practice location is 3541 Randolph Rd, Ste 206, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 381-8336.

Katrina Marie Dedona is licensed to practice in North Carolina (license number 5666) 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 1770952111.

Contact Information

	Katrina Marie Dedona, PSYD
	3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082
	(704) 381-8336
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katrina Marie Dedona
Gender	Female
Speciality	Psychologist
Location	3541 Randolph Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770952111
Provider Enumeration Date: 09/16/2015
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1658613971
Enrollment ID: I20190506002831

Medical Identifiers

Medical identifiers for Katrina Marie Dedona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770952111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5666 (North Carolina)	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. Katrina Marie Dedona allows following entities to bill medicare on her behalf.

Entity Name	Badlands Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124072525 PECOS PAC ID: 9739085499 Enrollment ID: O20031211000947

Entity Name	Lake Region Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669411930 PECOS PAC ID: 8426941436 Enrollment ID: O20040204000457

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. Katrina Marie Dedona 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
Katrina Marie Dedona, PSYD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Katrina Marie Dedona, PSYD 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 Ph: (704) 381-8336

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

Katrina Marie Dedona, PSYD - Medicare Psychologist in Charlotte, NC