Madeline L Free, MD
Individual provider Active NPI Psychiatry Physician · Dickinson, ND
NPI 1003914730 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1003914730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 7079 (ND)
- Practice address
- 1463 I94 Business Loop E Ste 1
Dickinson, ND 58601-6434 - Phone
- (701) 227-7500
- Fax
- (701) 227-7575
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031209000508 | ND | Practitioner - Psychiatry | 7810893070 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Behavioral Health Clinic | Current |
Accepting new patients | |
| Southeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Lake Region Behavioral Health Clinic | Current |
Accepting new patients | |
| Northwest Behavioral Health Clinic | Current |
Accepting new patients | |
| South Central Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Past |
Accepting new patients |
Locations
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200
1463 I94 Business Loop E
Ste 1
Dickinson, ND 58601
Phone (701) 227-7500
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
300 13th Ave W
Ste 1
Dickinson, ND 58601
Phone (701) 227-7500
2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500
520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300
316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7079 | ND | Yes |
Addresses
Primary practice location
1463 I94 Business Loop E Ste 1
Dickinson, ND 58601-6434
Mailing address
1463 I94 Business Loop E Ste 1
Dickinson, ND 58601-6434
Phone (701) 227-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18626 | Medicaid | ND |
Other providers in Dickinson, ND
- Lea M Floberg
- Focus Point Psychiatry Services PLLC
- Cassie Foster
- Maria Catherine Frank
- Scott Michael Frank
- Hannah Lee Freiboth
- Tamra L Freier
- Amber Rae Fridley
- Fiona May Fuller
- Clark J Fullmer II
All providers in Dickinson, ND · Psychiatry Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.