Tami Decoteau, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Yates, North Dakota. Her current practice location is
Indian Health Service, N10 Agency Street, Fort Yates, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 854-8265.
Tami Decoteau is licensed to practice in Nebraska (license number 644) 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 1356426993.
Healthcare Provider's Profile
| Full Name | Tami Decoteau |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | Indian Health Service, Fort Yates, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356426993
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153475710
- Enrollment ID: I20230430000016
Medical Identifiers
Medical identifiers for Tami Decoteau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356426993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 392 (North Dakota) | Primary |
| 103TC0700X | Psychologist - Clinical | 644 (Nebraska) | 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. Tami Decoteau allows following entities to bill medicare on her behalf.
| Entity Name | Decoteau Trauma-informed Care & Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174890016
PECOS PAC ID: 7911258025
Enrollment ID: O20180927002926 |
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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. Tami Decoteau 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 |
|---|
Tami Decoteau, PHD
2608 8th Ave Se,
Mandan, ND 58554-6402
Ph: (701) 751-0691 | Tami Decoteau, PHD
Indian Health Service, N10 Agency Street,
Fort Yates, ND 58538
Ph: (605) 854-8265 |
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