Dr Nicholas G Lattanzio, PSYD - Medicare Psychologist in St Charles, IL

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Dr Nicholas G Lattanzio, PSYD is a medicare enrolled "Psychologist - Clinical" provider in St Charles, Illinois. His current practice location is 405 Illinois Ave Unit 2c, St Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 377-3535.

Dr Nicholas G Lattanzio is licensed to practice in Illinois (license number 071010700) 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 1346901667.

Contact Information

Dr Nicholas G Lattanzio, PSYD
405 Illinois Ave Unit 2c,
St Charles, IL 60174-2963
(630) 377-3535
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicholas G Lattanzio
GenderMale
SpecialityPsychologist - Clinical
Location405 Illinois Ave Unit 2c, St Charles, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346901667
  • Provider Enumeration Date: 01/08/2022
  • Last Update Date: 05/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658721824
  • Enrollment ID: I20231229002218

Medical Identifiers

Medical identifiers for Dr Nicholas G Lattanzio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346901667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071010700 (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 Nicholas G Lattanzio allows following entities to bill medicare on his behalf.
Entity NameDavid Goodman Phd Psychologist Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659485878
PECOS PAC ID: 7416909056
Enrollment ID: O20050211000491

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 Nicholas G Lattanzio 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 Nicholas G Lattanzio, PSYD
405 Illinois Avenue, Suites 2b, 2c, & 2d,
St. Charles, IL 60174

Ph: (630) 377-3535		Dr Nicholas G Lattanzio, PSYD
405 Illinois Ave Unit 2c,
St Charles, IL 60174-2963

Ph: (630) 377-3535

Reviews and Comments


Psychologist in St Charles, IL

Dr. Timothy R. Buhrt, PSY.D.
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Practice Location: 1120 E Main St Ste 201, St Charles, IL 60174
Phone: 630-377-6613    Fax: 630-377-6225
Jillian Fitzpatrick, PSYD
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Practice Location: 1650 E Main St Ste 200, St Charles, IL 60174
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Dr. Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP
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Practice Location: 555 S Randall Rd Ste 204, St Charles, IL 60174
Phone: 312-818-9300    Fax: 888-488-2604
Andrea Reffett,
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Practice Location: 2320 Dean St Ste 102, St Charles, IL 60175
Phone: 630-443-9100    
Dr. Nina Appadurai,
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Medicare: Not Enrolled in Medicare
Practice Location: 2580 Foxfield Rd Ste 101-4, St Charles, IL 60174
Phone: 630-524-9230    
Taylor Levitt,
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Medicare: Not Enrolled in Medicare
Practice Location: 2580 Foxfield Rd Ste 101, St Charles, IL 60174
Phone: 630-797-9332    
Dr. John Alexander Harrow, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 2580 Foxfield Rd Ste 101, St Charles, IL 60174
Phone: 630-797-9332    

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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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