Dr Jaclyn Sara Weisman, PHD in Chicago, IL - Medicare Psychiatry Provider

Dr Jaclyn Sara Weisman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 676 N Saint Clair St Ste 1100, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-5060.

Dr Jaclyn Sara Weisman is licensed to practice in Illinois (license number 071010072) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982164869.

Contact Information

	Dr Jaclyn Sara Weisman, PHD
	676 N Saint Clair St Ste 1100, Chicago, IL 60611-2954
	(312) 695-5060
	(312) 695-5010

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaclyn Sara Weisman
Gender	Female
Speciality	Psychiatry
Experience	6 Years
Location	676 N Saint Clair St Ste 1100, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jaclyn Sara Weisman graduated from medical school in 2018

NPI Data:

NPI Number: 1982164869
Provider Enumeration Date: 03/25/2019
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7214267517
Enrollment ID: I20190930002905

Medical Identifiers

Medical identifiers for Dr Jaclyn Sara Weisman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982164869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071010072 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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 Jaclyn Sara Weisman allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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 Jaclyn Sara Weisman 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 Jaclyn Sara Weisman, PHD 676 N Saint Clair St Ste 1100, Chicago, IL 60611-2954 Ph: (312) 695-5060	Dr Jaclyn Sara Weisman, PHD 676 N Saint Clair St Ste 1100, Chicago, IL 60611-2954 Ph: (312) 695-5060

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 Jaclyn Sara Weisman, PHD - Medicare Psychologist in Chicago, IL