Dr Yevgeniy Isyanov, PHD is a medicare enrolled "Psychologist" provider in Skokie, Illinois. His current practice location is
8707 Skokie Blvd Ste 207, Skokie, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 673-8577.
Dr Yevgeniy Isyanov is licensed to practice in * (Not Available) (license number ) 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 1710962139.
Healthcare Provider's Profile
| Full Name | Dr Yevgeniy Isyanov |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 8707 Skokie Blvd Ste 207, Skokie, 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: 1710962139
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 01/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820303076
- Enrollment ID: I20240509002150
Medical Identifiers
Medical identifiers for Dr Yevgeniy Isyanov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710962139 | NPI | - | NPPES |
| 180-004766 | Other | IL | IL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 180-004766 (Illinois) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 180-004766 (Illinois) | Secondary |
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. Dr Yevgeniy Isyanov allows following entities to bill medicare on his behalf.
| Entity Name | Integrative Behavioral And Counseling Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184495533
PECOS PAC ID: 5496195216
Enrollment ID: O20240426002214 |
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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. Dr Yevgeniy Isyanov 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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Dr Yevgeniy Isyanov, PHD
803 S Poplar Ave,
Elmhurst, IL 60126-4544
Ph: (847) 673-8577 | Dr Yevgeniy Isyanov, PHD
8707 Skokie Blvd Ste 207,
Skokie, IL 60077-2269
Ph: (847) 673-8577 |
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