Dr Christian Kishlock, MD in Moorhead, MN

Dr Christian Kishlock, MD is a medicare enrolled "Family Medicine" physician in Moorhead, Minnesota. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 Medicine
Location	4000 28th Ave S, Moorhead, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316407133
Provider Enumeration Date: 03/20/2019
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1456687011
Enrollment ID: I20220120001044

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

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	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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 125 16th Ave E # Csb545, Seattle, WA 98112-5211 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
Dr. Allan James Luistro, M.D. Family Medicine Medicare: Accepting Medicare Assignments 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: May Accept Medicare Assignments 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
Amie C Haugo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 8th St S, Moorhead, MN 56560 Phone: 701-234-3260

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