Dr Christian Kishlock, MD in Moorhead, MN

Dr Christian Kishlock, MD is a medicare enrolled "Family Medicine" physician in Moorhead, Minnesota. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sanford Medical Center Fargo, Sanford Medical Center Fargo and her current practice location is 4000 28th Ave S, Moorhead, Minnesota. You can reach out to her office (for appointments etc.) via phone at (701) 234-3200.

Dr Christian Kishlock is licensed to practice in Minnesota (license number 73025) 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 1316407133.

Contact Information

	Dr Christian Kishlock, MD
	4000 28th Ave S, Moorhead, MN 56560-7926
	(701) 234-3200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Christian Kishlock
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	4000 28th Ave S, Moorhead, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Christian Kishlock graduated from medical school in 2019

NPI Data:

NPI Number: 1316407133
Provider Enumeration Date: 03/20/2019
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1456687011
Enrollment ID: I20230502002764

Medical Identifiers

Medical identifiers for Dr Christian Kishlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316407133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	73025 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1125
Sanford Medical Center Fargo	8426967803	1125

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. Dr Christian Kishlock allows following entities to bill medicare on her behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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. Dr Christian Kishlock 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
Dr Christian Kishlock, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Dr Christian Kishlock, MD 4000 28th Ave S, Moorhead, MN 56560-7926 Ph: (701) 234-3200

Reviews and Comments

Family Medicine Doctors in Moorhead, MN

Robert D Campbell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 8th St S, Moorhead, MN 56560 Phone: 701-234-3260 Fax: 701-234-3286
Heather Alyssa Bruggeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200
Dr. Allan James Luistro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1104 7th Ave S., Box 92 Msum Hendrix Clinic & Counseling Center, Moorhead, MN 56563 Phone: 218-477-2211 Fax: 218-477-5867
Dr. Buck Bania, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2310 4th Ave N, Moorhead, MN 56560 Phone: 218-422-7439
Taylor Grant Mertz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Belsly Blvd, Moorhead, MN 56560 Phone: 218-364-6800 Fax: 218-233-9267
Jerry P Rogers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Belsly Blvd, Moorhead, MN 56560 Phone: 701-364-6800 Fax: 701-364-6828

Dr Christian Kishlock, MD - Medicare Family Practice in Moorhead, MN