Dr Diane Louise Stellrecht, PHD, LP - Medicare Psychologist in Minneapolis, MN

Dr Diane Louise Stellrecht, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 4027 County Road 25, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 925-6033.

Dr Diane Louise Stellrecht is licensed to practice in Minnesota (license number LP1130) 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 1013108075.

Contact Information

Dr Diane Louise Stellrecht, PHD, LP
4027 County Road 25,
Minneapolis, MN 55416-2629
(612) 925-6033
(612) 925-8496



Healthcare Provider's Profile

Full NameDr Diane Louise Stellrecht
GenderFemale
Speciality
Experience Years
Location4027 County Road 25, Minneapolis, 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 Diane Louise Stellrecht attended and graduated from in
  NPI Data:
  • NPI Number: 1013108075
  • Provider Enumeration Date: 08/06/2007
  • Last Update Date: 12/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Diane Louise Stellrecht such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013108075NPI-NPPES
588350400MedicaidMN
28682STOtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0700XPsychologist - Adult Development & Aging 1130 (Minnesota)Secondary
103TC0700XPsychologist - Clinical 1130 (Minnesota)Secondary
103TC0700XPsychologist - Clinical LP1130 (Minnesota)Primary

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 Diane Louise Stellrecht 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 Diane Louise Stellrecht, PHD, LP
4240 Park Glen Rd,
St Louis Park, MN 55416-5427

Ph: (612) 925-6033
Dr Diane Louise Stellrecht, PHD, LP
4027 County Road 25,
Minneapolis, MN 55416-2629

Ph: (612) 925-6033

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› Verified 2 days ago


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