Dr Dianna W Bolen, PSYD in Chicago, IL - Medicare Clinical Psychologist Provider

Dr Dianna W Bolen, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 4350 N Hermitage Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 327-9356.

Dr Dianna W Bolen is licensed to practice in Illinois (license number 071006419) 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 1417089293.

Contact Information

	Dr Dianna W Bolen, PSYD
	4350 N Hermitage Ave, Chicago, IL 60613-1106
	(773) 327-9356
	(773) 348-8220

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dianna W Bolen
Gender	Female
Speciality	Clinical Psychologist
Experience	26 Years
Location	4350 N Hermitage Ave, 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 Dianna W Bolen graduated from medical school in 1998

NPI Data:

NPI Number: 1417089293
Provider Enumeration Date: 03/09/2007
Last Update Date: 06/29/2009

Medicare PECOS Information:

PECOS PAC ID: 5193876266
Enrollment ID: I20090701000040

Medical Identifiers

Medical identifiers for Dr Dianna W Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417089293	NPI	-	NPPES
01632869	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071006419 (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. Dr Dianna W Bolen allows following entities to bill medicare on her behalf.

Entity Name	Dwb Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891827655 PECOS PAC ID: 8729139894 Enrollment ID: O20090701000050

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 Dianna W Bolen 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 Dianna W Bolen, PSYD 4350 N Hermitage Ave, Chicago, IL 60613-1106 Ph: (773) 327-9356	Dr Dianna W Bolen, PSYD 4350 N Hermitage Ave, Chicago, IL 60613-1106 Ph: (773) 327-9356

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 Dianna W Bolen, PSYD - Medicare Psychologist in Chicago, IL