Dr James Kelley Wyatt, PHD in Chicago, IL - Medicare Clinical Psychologist Provider

Dr James Kelley Wyatt, PHD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. He went to University Of Arizona College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Rush University Medical Center and his current practice location is 1653 W Congress Pkwy, Sleep Disorders Center, Rush University Medical Center, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 942-5440.

Dr James Kelley Wyatt is licensed to practice in Illinois (license number 071005918) 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 1659421212.

Contact Information

	Dr James Kelley Wyatt, PHD
	1653 W Congress Pkwy, Sleep Disorders Center, Rush University Medical Center, Chicago, IL 60612-3833
	(312) 942-5440
	(312) 942-8961

Map and Direction

Healthcare Provider's Profile

Full Name	Dr James Kelley Wyatt
Gender	Male
Speciality	Clinical Psychologist
Experience	29 Years
Location	1653 W Congress Pkwy, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr James Kelley Wyatt attended and graduated from University Of Arizona College Of Medicine in 1995

NPI Data:

NPI Number: 1659421212
Provider Enumeration Date: 01/12/2007
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5193892834
Enrollment ID: I20080923000402

Medical Identifiers

Medical identifiers for Dr James Kelley Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659421212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	071005918 (Illinois)	Secondary
103T00000X	Psychologist	071005918 (Illinois)	Secondary
103TH0004X	Psychologist - Health	071005918 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	071005918 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush University Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rush University Medical Center	5496658874	997

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 James Kelley Wyatt allows following entities to bill medicare on his behalf.

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

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 James Kelley Wyatt 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 James Kelley Wyatt, PHD 1653 W Congress Pkwy, Sleep Disorders Center, Rush University Medical Center, Chicago, IL 60612-3833 Ph: (312) 942-5440	Dr James Kelley Wyatt, PHD 1653 W Congress Pkwy, Sleep Disorders Center, Rush University Medical Center, Chicago, IL 60612-3833 Ph: (312) 942-5440

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 James Kelley Wyatt, PHD - Medicare Psychologist in Chicago, IL