DEWEY ERTZ, ED.D.

Psychologist · RAPID CITY, SD

Individual Active NPI 1164606570

Medicare payment data Part B · 2022

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2022	13	46	$5,520	$4,631	$2,603

Specialty	Code	Primary	License	State
Psychologist	103T00000X	✓	123	SD
Addiction (Substance Use Disorder) Counselor	101YA0400X		123	SD
Clinical Psychologist	103TC0700X		123	SD
Family Psychologist	103TF0000X		123	SD
Forensic Psychologist	103TF0200X		123	SD
Intellectual & Developmental Disabilities Psychologist	103TM1800X		123	SD
Group Psychotherapy Psychologist	103TP2701X		123	SD
Rehabilitation Psychologist	103TR0400X		123	SD
School Psychologist	103TS0200X		29664-02	SD

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.