Dr Ari Samuel Lakritz, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Alton, Illinois. His current practice location is
1 Saint Anthonys Way, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(186) 474-6246.
Dr Ari Samuel Lakritz is licensed to practice in Illinois (license number 071.010807) 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 1942947684.
Healthcare Provider's Profile
Full Name | Dr Ari Samuel Lakritz |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1 Saint Anthonys Way, Alton, 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: 1942947684
- Provider Enumeration Date: 05/15/2022
- Last Update Date: 04/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951785310
- Enrollment ID: I20220902000634
Medical Identifiers
Medical identifiers for Dr Ari Samuel Lakritz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942947684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071.010807 (Illinois) | Primary |
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
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. Dr Ari Samuel Lakritz allows following entities to bill medicare on his behalf.
Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437551322 PECOS PAC ID: 4284541806 Enrollment ID: O20150710000901 |
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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. Dr Ari Samuel Lakritz 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 |
Dr Ari Samuel Lakritz, PSYD 1 Saint Anthonys Way, Alton, IL 62002-4568 Ph: (186) 474-6246 | Dr Ari Samuel Lakritz, PSYD 1 Saint Anthonys Way, Alton, IL 62002-4568 Ph: (186) 474-6246 |
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