Dr Diana M Poch, PSYD is a medicare enrolled "Psychologist" provider in Hampton, Minnesota. Her current practice location is
3235 220th St E, Hampton, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(192) 086-0015.
Dr Diana M Poch is licensed to practice in Minnesota (license number 6260) 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 1972233047.
Healthcare Provider's Profile
| Full Name | Dr Diana M Poch |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3235 220th St E, Hampton, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972233047
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 06/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981131216
- Enrollment ID: I20241226001646
Medical Identifiers
Medical identifiers for Dr Diana M Poch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972233047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 6260 (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 Diana M Poch allows following entities to bill medicare on her behalf.
| Entity Name | Washoe Tribe Of Nevada And California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396778379
PECOS PAC ID: 8527971662
Enrollment ID: O20050602000305 |
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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 Diana M Poch 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 Diana M Poch, PSYD
3235 220th St E,
Hampton, MN 55031-9636
Ph: (192) 086-0015 | Dr Diana M Poch, PSYD
3235 220th St E,
Hampton, MN 55031-9636
Ph: (192) 086-0015 |
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