Dr John Theodore Carlsen, PSCYHOLOGIST in Chicago, IL

Dr John Theodore Carlsen, PSCYHOLOGIST is a medicare enrolled "Psychologist" provider in Chicago, Illinois. His current practice location is 333 S State Street Revenue, #200 Chicago Department Of Public Health, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 747-9442.

Dr John Theodore Carlsen is licensed to practice in Illinois (license number ) 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 1467428037.

Contact Information

	Dr John Theodore Carlsen, PSCYHOLOGIST
	333 S State Street Revenue, #200 Chicago Department Of Public Health, Chicago, IL 60604
	(312) 747-9442
	(312) 747-9447

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Theodore Carlsen
Gender	Male
Speciality	Psychologist
Location	333 S State Street Revenue, 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: 1467428037
Provider Enumeration Date: 02/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022114081
Enrollment ID: I20070508000307

Medical Identifiers

Medical identifiers for Dr John Theodore Carlsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467428037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(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 John Theodore Carlsen allows following entities to bill medicare on his behalf.

Entity Name	City Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194725192 PECOS PAC ID: 4486540929 Enrollment ID: O20040303001160

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 John Theodore Carlsen 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 John Theodore Carlsen, PSCYHOLOGIST 333 S State Street Revenue, #200 Chicago Department Of Public Health, Chicago, IL 60604 Ph: (312) 747-9443	Dr John Theodore Carlsen, PSCYHOLOGIST 333 S State Street Revenue, #200 Chicago Department Of Public Health, Chicago, IL 60604 Ph: (312) 747-9442

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 John Theodore Carlsen, PSCYHOLOGIST - Medicare Psychologist in Chicago, IL