Samantha Marie Kallberg, PSYD, LP is a medicare enrolled "Psychologist - Counseling" provider in Hampton, Minnesota. Her current practice location is
23629 Inga Ave, Hampton, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 590-9905.
Samantha Marie Kallberg is licensed to practice in Minnesota (license number LP6987) 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 1801430277.
Healthcare Provider's Profile
Full Name | Samantha Marie Kallberg |
---|
Gender | Female |
---|
Speciality | Psychologist - Counseling |
---|
Location | 23629 Inga Ave, Hampton, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801430277
- Provider Enumeration Date: 10/29/2019
- Last Update Date: 04/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688026529
- Enrollment ID: I20240117000364
Medical Identifiers
Medical identifiers for Samantha Marie Kallberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801430277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | LP6987 (Minnesota) | Primary |
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. Samantha Marie Kallberg 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 |
Samantha Marie Kallberg, PSYD, LP 23629 Inga Ave, Hampton, MN 55031-9776 Ph: () - | Samantha Marie Kallberg, PSYD, LP 23629 Inga Ave, Hampton, MN 55031-9776 Ph: (218) 590-9905 |
Reviews and Comments