Dr Joseph William Proctor, in Macomb, IL - Medicare Psychologist Provider

Dr Joseph William Proctor, is a medicare enrolled "Psychologist" provider in Macomb, Illinois. His current practice location is 210 S Randolph St, Macomb, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 779-6063.

Dr Joseph William Proctor is licensed to practice in Illinois (license number 071005721) 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 1497287007.

Contact Information

	Dr Joseph William Proctor,
	210 S Randolph St, Macomb, IL 61455-3828
	(217) 779-6063
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joseph William Proctor
Gender	Male
Speciality	Psychologist
Location	210 S Randolph St, Macomb, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497287007
Provider Enumeration Date: 04/02/2017
Last Update Date: 04/02/2017

Medicare PECOS Information:

PECOS PAC ID: 1759667231
Enrollment ID: I20170810003728

Medical Identifiers

Medical identifiers for Dr Joseph William Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497287007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	071005721 (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 Joseph William Proctor allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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 Joseph William Proctor 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 Joseph William Proctor, 6482 Lakeshore View Dr, Rushville, IL 62681-4707 Ph: (217) 779-6063	Dr Joseph William Proctor, 210 S Randolph St, Macomb, IL 61455-3828 Ph: (217) 779-6063

Reviews and Comments

Psychologist in Macomb, IL

Dr. Nicole Christine Hernandez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 S Randolph St, Macomb, IL 61455 Phone: 734-673-1672
Dr. Amy Louck Davis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1139 E Grant St, Macomb, IL 61455 Phone: 937-266-7028
Dr. Terri Marie Guilford, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1601 W Jackson St Ste 104, Macomb, IL 61455 Phone: 845-527-2375
Dr. Diana Brook Dobier, PSYD LCP Psychologist Medicare: Medicare Enrolled Practice Location: 210 S Randolph St, Macomb, IL 61455 Phone: 217-779-5506
Dr. Jasmine Hardy, PSY. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1515 W Jackson St Apt 5, Macomb, IL 61455 Phone: 773-419-0878
Mrs. Lacey Nicole Remington, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 145 Jamestown Rd, Macomb, IL 61455 Phone: 309-313-1289

Dr Joseph William Proctor, - Medicare Psychologist in Macomb, IL