MRS. MEGAN JEANETTE DUDERSTADT
NPI 1356963532
Counselor - Mental Health in Chardon, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment

12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Megan Jeanette Duderstadt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MEGAN JEANETTE DUDERSTADT (NPI 1356963532) is an individual mental health provider in Chardon, Ohio and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356963532

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. MEGAN JEANETTE DUDERSTADT

Location Address12557 RAVENWOOD DRChardon, OH 44024-9009

Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568 · Fax (440) 285-2207

Phone(440) 285-3568

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1356963532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

12557 RAVENWOOD DR, Chardon, OH 44024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Megan Jeanette Duderstadt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032550728

PECOS Enrollment IDI20240513001719

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.