Erica Hymen, is a medicare enrolled "Clinical Neuropsychologist" provider in Chicago, Illinois. Her current practice location is
3231 N Clifton Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 507-8866.
Erica Hymen is licensed to practice in Illinois (license number 071.010871) 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 1962951467.
Healthcare Provider's Profile
Full Name | Erica Hymen |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 3231 N Clifton 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: 1962951467
- Provider Enumeration Date: 09/25/2016
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901251362
- Enrollment ID: I20231005000865
Medical Identifiers
Medical identifiers for Erica Hymen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962951467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178.009464 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301019157 (Michigan) | Secondary |
103G00000X | Clinical Neuropsychologist | 071.010871 (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. Erica Hymen allows following entities to bill medicare on her behalf.
Entity Name | Sage Neuropsychology Consultants |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376770875 PECOS PAC ID: 7517010739 Enrollment ID: O20090805000070 |
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Entity Name | Anthony Tucci Phd Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285282889 PECOS PAC ID: 8628408671 Enrollment ID: O20200415002668 |
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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. Erica Hymen 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 |
Erica Hymen, 3231 N Clifton Ave, Chicago, IL 60657-9543 Ph: () - | Erica Hymen, 3231 N Clifton Ave, Chicago, IL 60657-9543 Ph: (847) 507-8866 |
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