Thomas E Martin, PSYD, LCPC is a medicare enrolled "Psychologist - Clinical" provider in North Chicago, 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 Three Point Healthcare Llc and his current practice location is
3001 Green Bay Rd, Building 9 116b, North Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 688-1900.
Thomas E Martin is licensed to practice in Illinois (license number ) 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 1487766762.
Healthcare Provider's Profile
| Full Name | Thomas E Martin |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 19 Years |
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| Location | 3001 Green Bay Rd, North Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas E Martin graduated from medical school in 2005
NPI Data:
- NPI Number: 1487766762
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779806302
- Enrollment ID: I20150106001347
Medical Identifiers
Medical identifiers for Thomas E Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487766762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Three Point Healthcare Llc | 9133484694 | 15 |
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. Thomas E Martin allows following entities to bill medicare on his behalf.
| Entity Name | Revolution Ptwl Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164766606
PECOS PAC ID: 7719115617
Enrollment ID: O20140123001222 |
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| Entity Name | Three Point Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124535240
PECOS PAC ID: 9133484694
Enrollment ID: O20180604001868 |
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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. Thomas E Martin 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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Thomas E Martin, PSYD, LCPC
3001 Green Bay Rd, Building 9 116b,
North Chicago, IL 60064-3048
Ph: (847) 688-1900 | Thomas E Martin, PSYD, LCPC
3001 Green Bay Rd, Building 9 116b,
North Chicago, IL 60064-3048
Ph: (847) 688-1900 |
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