Dr Marlene Grace Rivera Rodriguez, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mt Prospect, Illinois. Her current practice location is
1660 Feehanville Dr, Mt Prospect, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 981-9200.
Dr Marlene Grace Rivera Rodriguez is licensed to practice in Illinois (license number 071011201) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922852219.
Healthcare Provider's Profile
Full Name | Dr Marlene Grace Rivera Rodriguez |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1660 Feehanville Dr, Mt Prospect, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922852219
- Provider Enumeration Date: 04/15/2024
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193261592
- Enrollment ID: I20240722002737
Medical Identifiers
Medical identifiers for Dr Marlene Grace Rivera Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922852219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071011201 (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 Marlene Grace Rivera Rodriguez allows following entities to bill medicare on her behalf.
Entity Name | Barnes & Klatt Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659425361 PECOS PAC ID: 1052369865 Enrollment ID: O20050108000090 |
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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 Marlene Grace Rivera Rodriguez 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 Marlene Grace Rivera Rodriguez, PSYD 1660 Feehanville Dr, Mt Prospect, IL 60056-6019 Ph: (847) 981-9200 | Dr Marlene Grace Rivera Rodriguez, PSYD 1660 Feehanville Dr, Mt Prospect, IL 60056-6019 Ph: (847) 981-9200 |
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