Samantha Lynn Klockow, PSYD, LP - Medicare Counselor in Lakeville, MN

Samantha Lynn Klockow, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Lakeville, Minnesota. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Wisconsin Lutheran Child And Family Service Inc, Wisconsin Lutheran Child And Family Service Inc and her current practice location is 8670 210th St W, Lakeville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (800) 438-1772.

Samantha Lynn Klockow is licensed to practice in Wisconsin (license number 3983-57) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457860884.

Contact Information

Samantha Lynn Klockow, PSYD, LP
8670 210th St W,
Lakeville, MN 55044-7000
(800) 438-1772
(262) 345-5562

Map and Direction


Healthcare Provider's Profile

Full NameSamantha Lynn Klockow
GenderFemale
SpecialityClinical Psychologist
Experience6 Years
Location8670 210th St W, Lakeville, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Lynn Klockow graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1457860884
  • Provider Enumeration Date: 09/28/2017
  • Last Update Date: 09/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042640641
  • Enrollment ID: I20200422002676

Medical Identifiers

Medical identifiers for Samantha Lynn Klockow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457860884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103TC0700XPsychologist - Clinical 6493 (Minnesota)Secondary
103TC0700XPsychologist - Clinical 3983-57 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wisconsin Lutheran Child And Family Service Inc074923389829
Wisconsin Lutheran Child And Family Service Inc074923389829

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. Samantha Lynn Klockow allows following entities to bill medicare on her behalf.
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592
Entity NameWisconsin Lutheran Child And Family Service Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083786628
PECOS PAC ID: 0749233898
Enrollment ID: O20130627000261

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. Samantha Lynn Klockow 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 AddressPractice Location Address
Samantha Lynn Klockow, PSYD, LP
W175n11120 Stonewood Dr,
Germantown, WI 53022-4799

Ph: (800) 438-1772
Samantha Lynn Klockow, PSYD, LP
8670 210th St W,
Lakeville, MN 55044-7000

Ph: (800) 438-1772

Reviews and Comments


Psychologist in Lakeville, MN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.