Doris M Van Byssum I, PSYD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Wheaton, Illinois. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Genesis Clinical Services and her current practice location is
1725 S Naperville Rd, Suite 206, Wheaton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 653-6441.
Doris M Van Byssum I is licensed to practice in Illinois (license number 209.010527041.189584) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063515369.
Healthcare Provider's Profile
Full Name | Doris M Van Byssum I |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 32 Years |
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Location | 1725 S Naperville Rd, Wheaton, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Doris M Van Byssum I graduated from medical school in 1992
NPI Data:
- NPI Number: 1063515369
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 03/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 9931294931
- Enrollment ID: I20160210001934
Medical Identifiers
Medical identifiers for Doris M Van Byssum I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063515369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071-004744 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.010527041.189584 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Genesis Clinical Services | 9739153347 | 13 |
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. Doris M Van Byssum I allows following entities to bill medicare on her behalf.
Entity Name | Genesis Clinical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265432140 PECOS PAC ID: 9739153347 Enrollment ID: O20040820000249 |
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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. Doris M Van Byssum I 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 |
Doris M Van Byssum I, PSYD 174 S Montclair Ave, Glen Ellyn, IL 60137-6357 Ph: (630) 858-0875 | Doris M Van Byssum I, PSYD 1725 S Naperville Rd, Suite 206, Wheaton, IL 60189-5805 Ph: (630) 653-6441 |
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