Kiah G Staloch, PSYD in Detroit Lakes, MN - Medicare Clinical Psychologist Provider

Kiah G Staloch, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Detroit Lakes, Minnesota. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice St Marys Regional Health Center and her current practice location is 1027 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 847-5611.

Kiah G Staloch is licensed to practice in Minnesota (license number LP6386) 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 1619344900.

Contact Information

	Kiah G Staloch, PSYD
	1027 Washington Ave, Detroit Lakes, MN 56501-3409
	(218) 847-5611
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kiah G Staloch
Gender	Female
Speciality	Clinical Psychologist
Experience	8 Years
Location	1027 Washington Ave, Detroit Lakes, 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:

Kiah G Staloch graduated from medical school in 2017

NPI Data:

NPI Number: 1619344900
Provider Enumeration Date: 08/21/2015
Last Update Date: 06/24/2021

Medicare PECOS Information:

PECOS PAC ID: 0749682011
Enrollment ID: I20210708002411

Medical Identifiers

Medical identifiers for Kiah G Staloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619344900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6386 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marys Regional Health Center	2062326820	158

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. Kiah G Staloch allows following entities to bill medicare on her behalf.

Entity Name	Eagan Counseling Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326

Entity Name	St Marys Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090

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. Kiah G Staloch 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
Kiah G Staloch, PSYD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-8000	Kiah G Staloch, PSYD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611

Reviews and Comments

Psychologist in Detroit Lakes, MN

Brian J Gatheridge, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dr. Tessie Blake, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1104 W River Rd, Detroit Lakes, MN 56501 Phone: 218-844-6853
Donald W Preussler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114
Dr. Gail Yvonne Pickett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2244
Dr. Elizabeth Evenson, PSY.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dr. Amy April Missling, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444
Dr. Shirley J Rader, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-5401 Fax: 218-573-2350

Kiah G Staloch, PSYD - Medicare Psychologist in Detroit Lakes, MN