Kati Klitzke, PSYD, LP in Sartell, MN - Medicare Psychologist Provider

Kati Klitzke, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Sartell, Minnesota. Her current practice location is 2330 Troop Dr Unit 101, Sartell, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 296-1592.

Kati Klitzke is licensed to practice in Minnesota (license number LP5972) 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 1750746715.

Contact Information

	Kati Klitzke, PSYD, LP
	2330 Troop Dr Unit 101, Sartell, MN 56377-4531
	(320) 296-1592
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kati Klitzke
Gender	Female
Speciality	Psychologist - Clinical
Location	2330 Troop Dr Unit 101, Sartell, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750746715
Provider Enumeration Date: 12/17/2015
Last Update Date: 02/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7012218548
Enrollment ID: I20151229000102

Medical Identifiers

Medical identifiers for Kati Klitzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750746715	NPI	-	NPPES
1750746715	Other		NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5972 (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. Kati Klitzke allows following entities to bill medicare on her behalf.

Entity Name	Lakeside Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457011371 PECOS PAC ID: 1153770227 Enrollment ID: O20231214001818

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. Kati Klitzke 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
Kati Klitzke, PSYD, LP 65506 210th St, Litchfield, MN 55355-5744 Ph: (320) 640-2980	Kati Klitzke, PSYD, LP 2330 Troop Dr Unit 101, Sartell, MN 56377-4531 Ph: (320) 296-1592

Reviews and Comments

Psychologist in Sartell, MN

Kristine Marie Wainright-tadych, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1908 Kruchten Ct S, Sartell, MN 56377 Phone: 320-290-0693
Dr. Dorothy Therese Soukup, PHD LP Psychologist Medicare: Medicare Enrolled Practice Location: 2385 Troop Drive, Suite 202, Sartell, MN 56377 Phone: 320-253-2385 Fax: 320-253-2386
Lacie Jayne Glasser, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512
Mrs. Kristen Math X, MA, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1603 Pebble Creek Dr, Sartell, MN 56377 Phone: 320-492-4582
Dr. Maggie Clare Happe, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 111 2nd St S, Sartell, MN 56377 Phone: 320-281-3339
Alexander Twohy, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512

Kati Klitzke, PSYD, LP - Medicare Psychologist in Sartell, MN