Dr Jason Todd Holdeman, PSYD - Medicare Psychologist in Great Lakes, IL

Dr Jason Todd Holdeman, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Great Lakes, Illinois. His current practice location is 3420 Illinois St, Great Lakes, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 688-6755.

Dr Jason Todd Holdeman is licensed to practice in Illinois (license number 071-006876) 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 1952385148.

Contact Information

Dr Jason Todd Holdeman, PSYD
3420 Illinois St,
Great Lakes, IL 60088-3161
(847) 688-6755
(847) 688-7411

Map and Direction




Healthcare Provider's Profile

Full NameDr Jason Todd Holdeman
GenderMale
SpecialityPsychologist - Clinical
Location3420 Illinois St, Great Lakes, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952385148
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 05/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2062433840
  • Enrollment ID: I20130807000485

Medical Identifiers

Medical identifiers for Dr Jason Todd Holdeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952385148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 20041693A (Indiana)Secondary
103TC0700XPsychologist - Clinical 071-006876 (Illinois)Primary

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 Jason Todd Holdeman 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 AddressPractice Location Address
Dr Jason Todd Holdeman, PSYD
101 Misty Hill Ln,
Hainesville, IL 60030-1078

Ph: (630) 621-0368
Dr Jason Todd Holdeman, PSYD
3420 Illinois St,
Great Lakes, IL 60088-3161

Ph: (847) 688-6755

Reviews and Comments


Psychologist in Great Lakes, IL

Dr. Carolyn F. Andrews, PH. D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3001 6th St Ste A, Naval Health Clinic, Bldg 200-h 9-n Mental Health Cntr, Great Lakes, IL 60088
Phone: 847-688-2221    Fax: 847-688-2697
Dr. Faan Yeen Sidor, PSYD
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 3001a Sixth St., Bldg 200h 4e, Great Lakes, IL 60088
Phone: 847-688-2755    Fax: 847-688-2546
Dr. Alma Teresa C Molino, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3420 Illinois St, Great Lakes, IL 60088
Phone: 847-688-9560    
Dr. Elaine Keefer May, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3001a Sixth Street, Great Lakes, IL 60088
Phone: 847-688-2221    
Dr. John E. Dalton, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3420 Illinois St, Reu, Building 1007, Great Lakes, IL 60088
Phone: 847-688-7406    
Dr. Julie Lynn Ruddy, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3420 Illinois St, Recruit Mental Health, Uss Tranquillity, Great Lakes, IL 60088
Phone: 847-688-7406    Fax: 847-688-7403
Kevin Potter Brown, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3001 6th St, Great Lakes, IL 60088
Phone: 847-688-2221    Fax: 847-688-2697

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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