Kelly E Kadlec, EDD | |
700 1st Ave S, Fargo, ND 58103-1802 | |
(701) 234-4111 | |
(701) 234-4130 |
Full Name | Kelly E Kadlec |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 25 Years |
Location | 700 1st Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750308425 | NPI | - | NPPES |
266913700 | Medicaid | MN | |
11724 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0814X | Psychologist - Psychoanalysis | 349 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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: O20110331000495 |
Mailing Address | Practice Location Address |
---|---|
Kelly E Kadlec, EDD 700 1st Ave S, Fargo, ND 58103-1802 Ph: (701) 234-4111 | Kelly E Kadlec, EDD 700 1st Ave S, Fargo, ND 58103-1802 Ph: (701) 234-4111 |
Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400 | |
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587 | |
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024 | |
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164 | |
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000 | |
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014 | |
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071 |