Stephen C Withrow, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sycamore, Illinois. He graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Central Dupage Physician Group and his current practice location is
1850 Gateway Dr, Sycamore, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 758-8671.
Stephen C Withrow is licensed to practice in Illinois (license number 071-007269) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447263041.
Healthcare Provider's Profile
| Full Name | Stephen C Withrow |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 19 Years |
|---|
| Location | 1850 Gateway Dr, Sycamore, Illinois |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Stephen C Withrow graduated from medical school in 2005
NPI Data:
- NPI Number: 1447263041
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 11/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002907425
- Enrollment ID: I20070814000261
Medical Identifiers
Medical identifiers for Stephen C Withrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447263041 | NPI | - | NPPES |
| 071007269 | Other | IL | LICENSE |
| 180004243 | Other | IL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 180-004243 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071-007269 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Dupage Physician Group | 5890696231 | 977 |
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. Stephen C Withrow allows following entities to bill medicare on his behalf.
| Entity Name | Central Dupage Physician Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
|---|
| Entity Name | Kishwaukee Physician Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932480605
PECOS PAC ID: 3870768054
Enrollment ID: O20111216000435 |
|---|
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. Stephen C Withrow 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 |
|---|
Stephen C Withrow, PSYD
1850 Gateway Dr,
Sycamore, IL 60178-3192
Ph: (815) 758-8671 | Stephen C Withrow, PSYD
1850 Gateway Dr,
Sycamore, IL 60178-3192
Ph: (815) 758-8671 |
Reviews and Comments