Dr Lisa Cecilia Campbell, PSYD in Park Ridge, IL - Medicare Clinical Psychologist Provider

Dr Lisa Cecilia Campbell, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Park Ridge, Illinois. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Willow Wellness Center, Llc and her current practice location is 1400 Renaissance Dr, Suite 401, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 318-8200.

Dr Lisa Cecilia Campbell is licensed to practice in Illinois (license number 071-006617) 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 1184730764.

Contact Information

	Dr Lisa Cecilia Campbell, PSYD
	1400 Renaissance Dr, Suite 401, Park Ridge, IL 60068-1329
	(847) 318-8200
	(847) 318-9170

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Cecilia Campbell
Gender	Female
Speciality	Clinical Psychologist
Experience	22 Years
Location	1400 Renaissance Dr, Park Ridge, 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 Lisa Cecilia Campbell graduated from medical school in 2002

NPI Data:

NPI Number: 1184730764
Provider Enumeration Date: 08/23/2006
Last Update Date: 12/20/2010

Medicare PECOS Information:

PECOS PAC ID: 6608779111
Enrollment ID: I20040131000040

Medical Identifiers

Medical identifiers for Dr Lisa Cecilia Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184730764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071-006617 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Willow Wellness Center, Llc	0941275267	3

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 Lisa Cecilia Campbell allows following entities to bill medicare on her behalf.

Entity Name	Willow Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154437739 PECOS PAC ID: 0941275267 Enrollment ID: O20040831000525

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 Lisa Cecilia Campbell 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 Lisa Cecilia Campbell, PSYD 1400 Renaissance Dr, Suite 401, Park Ridge, IL 60068-1329 Ph: (847) 318-8200	Dr Lisa Cecilia Campbell, PSYD 1400 Renaissance Dr, Suite 401, Park Ridge, IL 60068-1329 Ph: (847) 318-8200

Reviews and Comments

Psychologist in Park Ridge, IL

Dr. Yuleung Eric To, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Renaissance Dr, Suite 104, Park Ridge, IL 60068 Phone: 224-625-0280
Ilana Gross, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 Main St, Park Ridge, IL 60068 Phone: 847-692-6692
Dr. Jennifer Palmer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2800
Dr. Laurie J Golden, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-6127 Fax: 847-723-2061
Mrs. Aubrey Hulsebosch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Fairview Ave, Park Ridge, IL 60068 Phone: 847-653-3585
Dr. Ritu D Trivedi-purohit, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1440 Renaissance Dr, Suite 200, Park Ridge, IL 60068 Phone: 847-742-6041 Fax: 866-565-9307
Dr. Stefanie Warning-probst, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210

Dr Lisa Cecilia Campbell, PSYD - Medicare Psychologist in Park Ridge, IL