Agnes Zalesna, is a medicare enrolled "Psychologist" provider in Arlington Heights, Illinois. Her current practice location is
2101 S Arlington Heights Rd Ste 116, Arlington Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 666-5339.
Agnes Zalesna is licensed to practice in Illinois (license number 071010993) 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 1720455223.
Healthcare Provider's Profile
| Full Name | Agnes Zalesna |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 2101 S Arlington Heights Rd Ste 116, Arlington Heights, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720455223
- Provider Enumeration Date: 09/01/2015
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628424314
- Enrollment ID: I20231101002269
Medical Identifiers
Medical identifiers for Agnes Zalesna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720455223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 180009797 (Illinois) | Secondary |
| 103T00000X | Psychologist | 071010993 (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. Agnes Zalesna allows following entities to bill medicare on her behalf.
| Entity Name | Clarity Clinic Arlington Heights Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104341999
PECOS PAC ID: 0840558094
Enrollment ID: O20171218002359 |
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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. Agnes Zalesna 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 |
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Agnes Zalesna,
2101 S Arlington Heights Rd Ste 116,
Arlington Heights, IL 60005-4142
Ph: (847) 666-5339 | Agnes Zalesna,
2101 S Arlington Heights Rd Ste 116,
Arlington Heights, IL 60005-4142
Ph: (847) 666-5339 |
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