Alexandra D Kohlhase, PSYD in Fargo, ND - Medicare Clinical Psychologist Provider

Alexandra D Kohlhase, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fargo, North Dakota. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Innovis Health Llc, Innovis Health Llc and her current practice location is 1702 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-3300.

Alexandra D Kohlhase is licensed to practice in Minnesota (license number LP6671) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639694706.

Contact Information

	Alexandra D Kohlhase, PSYD
	1702 University Dr S, Fargo, ND 58103-4940
	(701) 364-3300
	(701) 364-8906

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandra D Kohlhase
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	1702 University Dr S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexandra D Kohlhase graduated from medical school in 2018

NPI Data:

NPI Number: 1639694706
Provider Enumeration Date: 08/09/2017
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 3274941927
Enrollment ID: I20210416001698

Medical Identifiers

Medical identifiers for Alexandra D Kohlhase such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639694706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2870 (Kansas)	Secondary
103TC0700X	Psychologist - Clinical	2780 (Kansas)	Secondary
103TC0700X	Psychologist - Clinical	LP6671 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478
Innovis Health Llc	9931298155	478

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. Alexandra D Kohlhase allows following entities to bill medicare on her behalf.

Entity Name	St Marys Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831

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. Alexandra D Kohlhase 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
Alexandra D Kohlhase, PSYD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Alexandra D Kohlhase, PSYD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300

Reviews and Comments

Psychologist in Fargo, ND

Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071

Alexandra D Kohlhase, PSYD - Medicare Psychologist in Fargo, ND