Kiah G Staloch, PSYD - Medicare Psychologist in Detroit Lakes, MN

Kiah G Staloch, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Detroit Lakes, Minnesota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice St Marys Regional Health Center and her current practice location is 1027 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 847-5611.

Kiah G Staloch is licensed to practice in Minnesota (license number LP6386) 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 1619344900.

Contact Information

Kiah G Staloch, PSYD
1027 Washington Ave,
Detroit Lakes, MN 56501-3409
(218) 847-5611
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKiah G Staloch
GenderFemale
SpecialityClinical Psychologist
Experience7 Years
Location1027 Washington Ave, Detroit Lakes, 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:
  • Kiah G Staloch graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1619344900
  • Provider Enumeration Date: 08/21/2015
  • Last Update Date: 06/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749682011
  • Enrollment ID: I20210708002411

Medical Identifiers

Medical identifiers for Kiah G Staloch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619344900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP6386 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Regional Health Center2062326820159

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. Kiah G Staloch allows following entities to bill medicare on her behalf.
Entity NameSt Marys Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679561088
PECOS PAC ID: 2062326820
Enrollment ID: O20031117000090

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. Kiah G Staloch 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
Kiah G Staloch, PSYD
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-8000
Kiah G Staloch, PSYD
1027 Washington Ave,
Detroit Lakes, MN 56501-3409

Ph: (218) 847-5611

Reviews and Comments


Psychologist in Detroit Lakes, MN

Brian J Gatheridge, PHD
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Donald W Preussler, PHD
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Dr. Gail Yvonne Pickett, PHD
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Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501
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Dr. Elizabeth Evenson, PSY.D., LP
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Dr. Amy April Missling, PSYD,LP
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Medicare: Accepting Medicare Assignments
Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501
Phone: 218-847-5611    Fax: 218-844-2444
Dr. Shirley J Rader, PHD
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Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501
Phone: 218-847-5401    Fax: 218-573-2350

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.