Dr Emely De La O, PSYD in Chicago, IL - Medicare Psychologist Provider

Dr Emely De La O, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. Her current practice location is 3860 W Ogden Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (872) 588-3000.

Dr Emely De La O is licensed to practice in Illinois (license number 071009306) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205285913.

Contact Information

	Dr Emely De La O, PSYD
	3860 W Ogden Ave, Chicago, IL 60623-2460
	(872) 588-3000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Emely De La O
Gender	Female
Speciality	Psychologist - Clinical
Location	3860 W Ogden Ave, 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: 1205285913
Provider Enumeration Date: 06/03/2016
Last Update Date: 06/03/2016

Medicare PECOS Information:

PECOS PAC ID: 0749576726
Enrollment ID: I20160831002172

Medical Identifiers

Medical identifiers for Dr Emely De La O such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205285913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071009306 (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 Emely De La O allows following entities to bill medicare on her behalf.

Entity Name	Lawndale Christian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728

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 Emely De La O 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 Emely De La O, PSYD 3860 W Ogden Ave, Chicago, IL 60623-2460 Ph: () -	Dr Emely De La O, PSYD 3860 W Ogden Ave, Chicago, IL 60623-2460 Ph: (872) 588-3000

Reviews and Comments

Psychologist in Chicago, IL

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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 Emely De La O, PSYD - Medicare Psychologist in Chicago, IL