Michael Knobeloch, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Decatur, Illinois. He graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice St. Louis Behavioral Medicine Institute Inc and his current practice location is
102 W Kenwood Ave, Suite 120a, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 706-3190.
Michael Knobeloch is licensed to practice in Illinois (license number 071009106) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619396736.
Healthcare Provider's Profile
| Full Name | Michael Knobeloch |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 102 W Kenwood Ave, Decatur, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Knobeloch graduated from medical school in 2013
NPI Data:
- NPI Number: 1619396736
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 01/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567771827
- Enrollment ID: I20160726002594
Medical Identifiers
Medical identifiers for Michael Knobeloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619396736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071009106 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Louis Behavioral Medicine Institute Inc | 3173428638 | 67 |
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. Michael Knobeloch allows following entities to bill medicare on his behalf.
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. Michael Knobeloch 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 |
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Michael Knobeloch, PSYD
Po Box 604,
Bloomington, IL 61702-0604
Ph: (309) 706-3190 | Michael Knobeloch, PSYD
102 W Kenwood Ave, Suite 120a,
Decatur, IL 62526-4368
Ph: (309) 706-3190 |
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