Dr Erika Luz Gustafson, PHD in Chicago, IL - Medicare Psychologist Provider

Dr Erika Luz Gustafson, PHD is a medicare enrolled "Psychologist" provider in Chicago, Illinois. Her current practice location is 1747 W Roosevelt Rd, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 996-2200.

Dr Erika Luz Gustafson is licensed to practice in Illinois (license number ) 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 1033838404.

Contact Information

	Dr Erika Luz Gustafson, PHD
	1747 W Roosevelt Rd, Chicago, IL 60608-1264
	(312) 996-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Erika Luz Gustafson
Gender	Female
Speciality	Psychologist
Location	1747 W Roosevelt Rd, 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: 1033838404
Provider Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022

Medicare PECOS Information:

PECOS PAC ID: 7719334192
Enrollment ID: I20231107000115

Medical Identifiers

Medical identifiers for Dr Erika Luz Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033838404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(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 Erika Luz Gustafson allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822147 PECOS PAC ID: 3072422716 Enrollment ID: O20040128001061

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 Erika Luz Gustafson 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 Erika Luz Gustafson, PHD 1648 W Cullerton St, Coach House, Chicago, IL 60608 Ph: (630) 525-0553	Dr Erika Luz Gustafson, PHD 1747 W Roosevelt Rd, Chicago, IL 60608-1264 Ph: (312) 996-2200

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 Erika Luz Gustafson, PHD - Medicare Psychologist in Chicago, IL