Dr Edward Lee Butler Jr, PSYD in Chicago, IL - Medicare Psychologist Provider

Dr Edward Lee Butler Jr, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. His current practice location is 110 E 79th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 412-8912.

Dr Edward Lee Butler Jr is licensed to practice in Illinois (license number 071008366) 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 1417296005.

Contact Information

	Dr Edward Lee Butler Jr, PSYD
	110 E 79th St, Chicago, IL 60619-2302
	(773) 412-8912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edward Lee Butler Jr
Gender	Male
Speciality	Psychologist - Clinical
Location	110 E 79th St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417296005
Provider Enumeration Date: 02/03/2013
Last Update Date: 02/03/2013

Medicare PECOS Information:

PECOS PAC ID: 3971910431
Enrollment ID: I20210329002135

Medical Identifiers

Medical identifiers for Dr Edward Lee Butler Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417296005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071008366 (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 Edward Lee Butler Jr allows following entities to bill medicare on his behalf.

Entity Name	Chicago Bh Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972384758 PECOS PAC ID: 4284021262 Enrollment ID: O20220805003038

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 Edward Lee Butler Jr 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 Edward Lee Butler Jr, PSYD 8111 S Rhodes Ave, Chicago, IL 60619-5023 Ph: (773) 412-8912	Dr Edward Lee Butler Jr, PSYD 110 E 79th St, Chicago, IL 60619-2302 Ph: (773) 412-8912

Reviews and Comments

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Dr Edward Lee Butler Jr, PSYD - Medicare Psychologist in Chicago, IL