Diane Adele Fjelstad Kjelstrup, MD in Fargo, ND - Medicare Psychiatry & Neurology

Diane Adele Fjelstad Kjelstrup, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fargo, North Dakota. Her current practice location is 100 4th St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-4141.

Diane Adele Fjelstad Kjelstrup is licensed to practice in North Dakota (license number 10846) 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 1306036017.

Contact Information

	Diane Adele Fjelstad Kjelstrup, MD
	100 4th St S, Fargo, ND 58103-1929
	(701) 234-4141
	(701) 234-4137

Map and Direction

Physician's Profile

Full Name	Diane Adele Fjelstad Kjelstrup
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	100 4th St S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306036017
Provider Enumeration Date: 07/29/2007
Last Update Date: 02/08/2021

Medicare PECOS Information:

PECOS PAC ID: 9032285226
Enrollment ID: I20080912000242

Medical Identifiers

Medical identifiers for Diane Adele Fjelstad Kjelstrup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306036017	NPI	-	NPPES
14891	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	10846 (North Dakota)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	50501 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	7025 (South Dakota)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	10846 (North Dakota)	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. Diane Adele Fjelstad Kjelstrup allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Diane Adele Fjelstad Kjelstrup 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
Diane Adele Fjelstad Kjelstrup, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Diane Adele Fjelstad Kjelstrup, MD 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-4141

Reviews and Comments

Psychiatry & Neurology Doctors in Fargo, ND

Susan L Scarberry, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4160
Charlotte Marie Andersen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 510 4th Street S, Fargo, ND 58107 Phone: 701-476-7200
Dr. Lawana Marie Burtnett, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 510 4th St S, Fargo, ND 58103 Phone: 701-476-7200
Dr. Ravinda Samaraweera, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4160
Dr. Timothy T Vo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2624 9th Ave S, Southeast Human Service Center, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400
Karis Antonia Stenback Irving, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St Ne, Fargo, ND 58102 Phone: 615-918-0639 Fax: 612-749-3990
Amna Masood, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 736 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345

Diane Adele Fjelstad Kjelstrup, MD - Medicare Psychiatry & Neurology in Fargo, ND