Bethany A Rosner, is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. Her current practice location is
2608 N Washtenaw Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 322-6715.
Bethany A Rosner is licensed to practice in Illinois (license number 071-010941) 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 1891350625.
Healthcare Provider's Profile
Full Name | Bethany A Rosner |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2608 N Washtenaw Ave, 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: 1891350625
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264897446
- Enrollment ID: I20230421000717
Medical Identifiers
Medical identifiers for Bethany A Rosner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891350625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 071-010941 (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. Bethany A Rosner allows following entities to bill medicare on her behalf.
Entity Name | The Behavioral Health Cooperative Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497428817 PECOS PAC ID: 1355732777 Enrollment ID: O20211220000801 |
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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. Bethany A Rosner 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 |
Bethany A Rosner, 2608 N Washtenaw Ave, Chicago, IL 60647-5715 Ph: (815) 322-6715 | Bethany A Rosner, 2608 N Washtenaw Ave, Chicago, IL 60647-5715 Ph: (815) 322-6715 |
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