Dr Thor Johansen, PSYD in Chicago, IL - Medicare Clinical Psychologist Provider

Dr Thor Johansen, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 4801 W Peterson Ave Ste 303, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 282-2322.

Dr Thor Johansen is licensed to practice in Illinois (license number 71007301) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801094446.

Contact Information

	Dr Thor Johansen, PSYD
	4801 W Peterson Ave Ste 303, Chicago, IL 60646-5726
	(773) 282-2322
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thor Johansen
Gender	Male
Speciality	Clinical Psychologist
Experience	19 Years
Location	4801 W Peterson Ave Ste 303, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Thor Johansen graduated from medical school in 2005

NPI Data:

NPI Number: 1801094446
Provider Enumeration Date: 07/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7315379781
Enrollment ID: I20191125000050

Medical Identifiers

Medical identifiers for Dr Thor Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801094446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	71007301 (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 Thor Johansen allows following entities to bill medicare on his behalf.

Entity Name	Mountain Valley Regional Rehabilitation Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780179044 PECOS PAC ID: 8022021260 Enrollment ID: O20180829001395

Entity Name	Vibra Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20190723002397

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 Thor Johansen 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 Thor Johansen, PSYD 3329 N Hoyne Ave # 1, Chicago, IL 60618-6243 Ph: (773) 428-2449	Dr Thor Johansen, PSYD 4801 W Peterson Ave Ste 303, Chicago, IL 60646-5726 Ph: (773) 282-2322

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 Thor Johansen, PSYD - Medicare Psychologist in Chicago, IL