Dr Azadeh Ghaffari, PHD in Chicago, IL - Medicare Clinical Psychologist Provider

Dr Azadeh Ghaffari, PHD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Chicago Behavioral Clinic Llc and her current practice location is 2502 N Clark St Ste 206, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 850-0294.

Dr Azadeh Ghaffari is licensed to practice in Illinois (license number 071008535) 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 1811236755.

Contact Information

	Dr Azadeh Ghaffari, PHD
	2502 N Clark St Ste 206, Chicago, IL 60614-1850
	(773) 850-0294
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Azadeh Ghaffari
Gender	Female
Speciality	Clinical Psychologist
Experience	13 Years
Location	2502 N Clark St Ste 206, Chicago, Illinois
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:

Dr Azadeh Ghaffari graduated from medical school in 2011

NPI Data:

NPI Number: 1811236755
Provider Enumeration Date: 02/13/2013
Last Update Date: 02/06/2019

Medicare PECOS Information:

PECOS PAC ID: 4880833680
Enrollment ID: I20190606002858

Medical Identifiers

Medical identifiers for Dr Azadeh Ghaffari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811236755	NPI	-	NPPES
1821540428	Other	IL	NPI2

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	071008535 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	071008535 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chicago Behavioral Clinic Llc	6204169253	3

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 Azadeh Ghaffari allows following entities to bill medicare on her behalf.

Entity Name	Chicago Behavioral Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821540428 PECOS PAC ID: 6204169253 Enrollment ID: O20190606002800

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 Azadeh Ghaffari 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 Azadeh Ghaffari, PHD 2502 N Clark St Ste 206, Chicago, IL 60614-1850 Ph: (773) 850-0294	Dr Azadeh Ghaffari, PHD 2502 N Clark St Ste 206, Chicago, IL 60614-1850 Ph: (773) 850-0294

Reviews and Comments

Psychologist in Chicago, IL

Dr. Pamela Daley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1510, Chicago, IL 60602 Phone: 773-615-9477
Dr. Marilyn Sue Johnson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Chicago, IL 60611 Phone: 312-337-0374 Fax: 630-762-9978
Dr. Aisha Kazi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Suite 407, Chicago, IL 60611 Phone: 305-804-5842
Dr. Amber D Bauer-gambla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1601, Chicago, IL 60602 Phone: 312-720-8008
Dr. Rachel Catherine Tercek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1653 W. Congress Parkway, Chicago, IL 60612 Phone: 847-933-9339
Ms. Michelle T Frank, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1448 N Milwaukee Ave, Suite 201, Chicago, IL 60622 Phone: 773-486-4617 Fax: 773-486-4936
Dr. Rae Watkins, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1519 W Irving Park Rd Ste 1, Chicago, IL 60613 Phone: 773-600-7580

Dr Azadeh Ghaffari, PHD - Medicare Psychologist in Chicago, IL