Dr Gerard David Widmann, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Naperville, Illinois. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
640 S Washington St, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 942-6323.
Dr Gerard David Widmann is licensed to practice in Illinois (license number 071010323) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740891282.
Healthcare Provider's Profile
| Full Name | Dr Gerard David Widmann |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 640 S Washington St, Naperville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gerard David Widmann graduated from medical school in 2016
NPI Data:
- NPI Number: 1740891282
- Provider Enumeration Date: 08/10/2020
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668899816
- Enrollment ID: I20200902001225
Medical Identifiers
Medical identifiers for Dr Gerard David Widmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740891282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 071010323 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071010323 (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 Gerard David Widmann allows following entities to bill medicare on his behalf.
| Entity Name | Institute For Personal Development |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942247895
PECOS PAC ID: 6608780481
Enrollment ID: O20031117000178 |
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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 Gerard David Widmann 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 |
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Dr Gerard David Widmann, PSYD
Po Box 7410264,
Chicago, IL 60674-0264
Ph: (815) 942-6323 | Dr Gerard David Widmann, PSYD
640 S Washington St,
Naperville, IL 60540-6603
Ph: (815) 942-6323 |
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