Michelle Kloster, is a medicare enrolled "Psychologist - Clinical" provider in Bloomington, Indiana. Her current practice location is
725 N Bell Trace Cir, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 323-2858.
Michelle Kloster is licensed to practice in Indiana (license number 20042655A) 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 1528395951.
Healthcare Provider's Profile
Full Name | Michelle Kloster |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 725 N Bell Trace Cir, Bloomington, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528395951
- Provider Enumeration Date: 11/05/2009
- Last Update Date: 09/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860626611
- Enrollment ID: I20131009001629
Medical Identifiers
Medical identifiers for Michelle Kloster such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528395951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 20042655A (Indiana) | 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. Michelle Kloster allows following entities to bill medicare on her behalf.
Entity Name | The Otis R Bowen Center For Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
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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. Michelle Kloster 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 |
Michelle Kloster, 3210 E 10th St Unit 5163, Bloomington, IN 47408-2753 Ph: (562) 706-5175 | Michelle Kloster, 725 N Bell Trace Cir, Bloomington, IN 47408 Ph: (812) 323-2858 |
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