Ms Stacy Leah Colich, in Cloquet, MN - Medicare Dietitian, Registered Provider

Ms Stacy Leah Colich, is a medicare enrolled "Dietitian, Registered" provider in Cloquet, Minnesota. Her current practice location is 512 Skyline Blvd, Community Memorial Hospital, Cloquet, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 879-4641.

Ms Stacy Leah Colich is licensed to practice in Minnesota (license number 1055) 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 1760433437.

Contact Information

	Ms Stacy Leah Colich,
	512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720-1199
	(218) 879-4641
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Stacy Leah Colich
Gender	Female
Speciality	Dietitian, Registered
Location	512 Skyline Blvd, Cloquet, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760433437
Provider Enumeration Date: 05/15/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3072833748
Enrollment ID: I20150520000900

Medical Identifiers

Medical identifiers for Ms Stacy Leah Colich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760433437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1055 (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. Ms Stacy Leah Colich allows following entities to bill medicare on her behalf.

Provider Name	Community Memorial Hospital Association
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203

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. Ms Stacy Leah Colich 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
Ms Stacy Leah Colich, 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720-1199 Ph: (218) 879-4641	Ms Stacy Leah Colich, 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720-1199 Ph: (218) 879-4641

Reviews and Comments

Dietitian, Registered in Cloquet, MN

Ms. Leeanna Lynn Stock, RN, LD, CO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227
Brooke Terasa Swanson, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227
John Michael Stingle, PA Dietitian Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227
Mrs. Jean Lynn Maslowski, RD LD CDE Dietitian Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7071 Fax: 218-878-7657
Jennifer Susan Hall, RD, LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: Fond Du Lac Human Services Division, 927 Trettle Lane, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2188
Barbara Ann Heikkila, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227

Ms Stacy Leah Colich, - Medicare Dietitian in Cloquet, MN