Mr Dennis Delfosse, LCPC is a medicare enrolled "Counselor - Professional" provider in Chicago, Illinois. His current practice location is
4753 N Broadway St, Suite 900, 910, 925, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 989-2780.
Mr Dennis Delfosse is licensed to practice in Illinois (license number 180003164) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164512182.
Healthcare Provider's Profile
Full Name | Mr Dennis Delfosse |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 4753 N Broadway St, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164512182
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234676065
- Enrollment ID: I20240730000899
Medical Identifiers
Medical identifiers for Mr Dennis Delfosse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164512182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 180-003164 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180003164 (Illinois) | 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. Mr Dennis Delfosse allows following entities to bill medicare on his behalf.
Entity Name | Kp Counseling Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770630766 PECOS PAC ID: 1254318983 Enrollment ID: O20040701000375 |
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Entity Name | Richard Kneip, Ph.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199 |
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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. Mr Dennis Delfosse 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 |
Mr Dennis Delfosse, LCPC 4753 N Broadway St, Suite 900, 910, 925, Chicago, IL 60640-5266 Ph: (773) 989-2780 | Mr Dennis Delfosse, LCPC 4753 N Broadway St, Suite 900, 910, 925, Chicago, IL 60640-5266 Ph: (773) 989-2780 |
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