Dr Krissondra Leigh Klop, DO in Mandan, ND

Dr Krissondra Leigh Klop, DO is a medicare enrolled "Family Medicine" physician in Mandan, North Dakota. Her current practice location is 910 18th St Nw, Mandan, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 667-5100.

Dr Krissondra Leigh Klop is licensed to practice in North Dakota (license number 12005) 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 1205088515.

Contact Information

	Dr Krissondra Leigh Klop, DO
	910 18th St Nw, Mandan, ND 58554-1612
	(701) 667-5100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Krissondra Leigh Klop
Gender	Female
Speciality	Family Medicine
Location	910 18th St Nw, Mandan, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205088515
Provider Enumeration Date: 10/17/2008
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1759554926
Enrollment ID: I20111103000297

Medical Identifiers

Medical identifiers for Dr Krissondra Leigh Klop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205088515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101017842 (Michigan)	Secondary
207Q00000X	Family Medicine	12005 (North Dakota)	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 Krissondra Leigh Klop allows following entities to bill medicare on her behalf.

Entity Name	Sanford Bismarck
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403

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 Krissondra Leigh Klop 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 Krissondra Leigh Klop, DO Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Dr Krissondra Leigh Klop, DO 910 18th St Nw, Mandan, ND 58554-1612 Ph: (701) 667-5100

Reviews and Comments

Family Medicine Doctors in Mandan, ND

Meghan Hendrickson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Mandan Ave, Mandan, ND 58554 Phone: 701-323-6000
Jordan Barth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 18th St Nw, Mandan, ND 58554 Phone: 701-667-5100
Boyd F Addy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2008 Twin City Dr, Mandan, ND 58554 Phone: 701-667-1000 Fax: 701-667-0707
Dale A Klein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 18th St Nw, Mandan, ND 58554 Phone: 701-667-5100 Fax: 701-323-5709
Laura Archuleta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Sunset Drive Nw, Mandan, ND 58554 Phone: 701-667-4600 Fax: 701-530-3780
Andrew Dockter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 910 18th St Nw, Mandan, ND 58554 Phone: 701-667-5100

Dr Krissondra Leigh Klop, DO - Medicare Family Medicine in Mandan, ND