Michael Knobeloch, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Decatur, Illinois. He graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice St. Louis Behavioral Medicine Institute Inc and his current practice location is
102 W Kenwood Ave, Suite 120a, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 706-3190.
Michael Knobeloch is licensed to practice in Illinois (license number 071009106) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619396736.
Healthcare Provider's Profile
| Full Name | Michael Knobeloch |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 102 W Kenwood Ave, Decatur, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Knobeloch graduated from medical school in 2013
NPI Data:
- NPI Number: 1619396736
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 01/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567771827
- Enrollment ID: I20160726002594
Medical Identifiers
Medical identifiers for Michael Knobeloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619396736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071009106 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St. Louis Behavioral Medicine Institute Inc | 3173428638 | 44 |
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. Michael Knobeloch allows following entities to bill medicare on his behalf.
| Entity Name | St. Louis Behavioral Medicine Institute Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487732335
PECOS PAC ID: 3173428638
Enrollment ID: O20031223000497 |
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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. Michael Knobeloch 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 |
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Michael Knobeloch, PSYD
Po Box 604,
Bloomington, IL 61702-0604
Ph: (309) 706-3190 | Michael Knobeloch, PSYD
102 W Kenwood Ave, Suite 120a,
Decatur, IL 62526-4368
Ph: (309) 706-3190 |
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