Philip H Ulm, PSY D is a medicare enrolled "Counselor - Professional" physician in Galesburg, Illinois. His current practice location is
834 North Seminary Street, Suite 405, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 344-9444.
Philip H Ulm is licensed to practice in Illinois (license number 180001030) 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 1245331073.
Physician's Profile
Full Name | Philip H Ulm |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 834 North Seminary Street, Galesburg, 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: 1245331073
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022451210
- Enrollment ID: I20240205002013
Medical Identifiers
Medical identifiers for Philip H Ulm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245331073 | NPI | - | NPPES |
5092671 | Other | IL | AETNA |
10741209 | Other | | CAQH |
4815127 | Other | | BC/BS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 180001030 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180001030 (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. Philip H Ulm allows following entities to bill medicare on his behalf.
Entity Name | St Mary Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Philip H Ulm 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 |
Philip H Ulm, PSY D 3315 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-1000 | Philip H Ulm, PSY D 834 North Seminary Street, Suite 405, Galesburg, IL 61401 Ph: (309) 344-9444 |
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