Dr Harold Fuentes, PSYD in Chicago, IL - Medicare Psychologist Provider

Dr Harold Fuentes, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. His current practice location is 1969 W Ogden Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 864-6000.

Dr Harold Fuentes is licensed to practice in Illinois (license number 071007321) 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 1427228683.

Contact Information

	Dr Harold Fuentes, PSYD
	1969 W Ogden Ave, Chicago, IL 60612-3765
	(312) 864-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Harold Fuentes
Gender	Male
Speciality	Psychologist - Clinical
Location	1969 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: 1427228683
Provider Enumeration Date: 03/04/2008
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8224219837
Enrollment ID: I20110301000984

Medical Identifiers

Medical identifiers for Dr Harold Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427228683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071007321 (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 Harold Fuentes allows following entities to bill medicare on his behalf.

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

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 Harold Fuentes 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 Harold Fuentes, PSYD 1969 W Ogden Ave Ste 4396, Chicago, IL 60612-3765 Ph: (312) 864-6000	Dr Harold Fuentes, PSYD 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: (312) 864-6000

Reviews and Comments

Psychologist in Chicago, IL

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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 Harold Fuentes, PSYD - Medicare Psychologist in Chicago, IL