Dr Stacie L Darke, PHD, LP - Medicare Psychologist in St Louis Park, MN

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Dr Stacie L Darke, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in St Louis Park, Minnesota. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Associated Clinic Of Psychology Inc and her current practice location is 1155 Ford Rd Ste B, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 378-1800.

Dr Stacie L Darke is licensed to practice in Minnesota (license number 6512) 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 1952551731.

Contact Information

Dr Stacie L Darke, PHD, LP
1155 Ford Rd Ste B,
St Louis Park, MN 55426-1115
(952) 378-1800
(952) 378-1714

Map and Direction




Healthcare Provider's Profile

Full NameDr Stacie L Darke
GenderFemale
SpecialityClinical Psychologist
Experience8 Years
Location1155 Ford Rd Ste B, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stacie L Darke graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1952551731
  • Provider Enumeration Date: 09/29/2008
  • Last Update Date: 06/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921429887
  • Enrollment ID: I20200601001531

Medical Identifiers

Medical identifiers for Dr Stacie L Darke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952551731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6512 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Clinic Of Psychology Inc0749171320127

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. Dr Stacie L Darke allows following entities to bill medicare on her behalf.
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592
Entity NameAssociated Clinic Of Psychology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588741292
PECOS PAC ID: 0749171320
Enrollment ID: O20040323000833

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. Dr Stacie L Darke 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 AddressPractice Location Address
Dr Stacie L Darke, PHD, LP
4240 Park Glen Rd,
St Louis Park, MN 55416-5427

Ph: (612) 925-6033		Dr Stacie L Darke, PHD, LP
1155 Ford Rd Ste B,
St Louis Park, MN 55426-1115

Ph: (952) 378-1800

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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