Gustavo Medrano, PHD in Evanston, IL - Medicare Clinical Psychologist Provider

Gustavo Medrano, PHD is a medicare enrolled "Psychologist" provider in Evanston, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is 618 Library Pl, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 733-4300.

Gustavo Medrano is licensed to practice in * (Not Available) (license number ) 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 1043624794.

Contact Information

	Gustavo Medrano, PHD
	618 Library Pl, Evanston, IL 60201-2908
	(847) 733-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gustavo Medrano
Gender	Male
Speciality	Clinical Psychologist
Experience	10 Years
Location	618 Library Pl, Evanston, 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:

Gustavo Medrano graduated from medical school in 2014

NPI Data:

NPI Number: 1043624794
Provider Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014

Medicare PECOS Information:

PECOS PAC ID: 9638466337
Enrollment ID: I20160923000885

Medical Identifiers

Medical identifiers for Gustavo Medrano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043624794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	923

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. Gustavo Medrano allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822147 PECOS PAC ID: 3072422716 Enrollment ID: O20040128001061

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. Gustavo Medrano 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
Gustavo Medrano, PHD 618 Library Pl, Evanston, IL 60201-2908 Ph: (847) 733-4300	Gustavo Medrano, PHD 618 Library Pl, Evanston, IL 60201-2908 Ph: (847) 733-4300

Reviews and Comments

Psychologist in Evanston, IL

Dr. Sheila M. Culkin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 636 Church St, Suite #421, Evanston, IL 60201 Phone: 847-328-3120
Dr. Punam Rahman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1601 Sherman Ave Ste 210, Evanston, IL 60201 Phone: 855-264-9355
Dr. Idy Barasch Gitelson, PH. D.. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2827 Harrison Street, Evanston, IL 60201 Phone: 847-475-5686
Dr. Diana Beliard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave, Suite 308, Evanston, IL 60201 Phone: 847-328-9566 Fax: 847-784-5052
Christine V. Petersen, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2530 Crawford Ave Ste 212, Evanston, IL 60201 Phone: 773-469-7339
Dr. Kathy S. Greenberger, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2814 Garrison Ave, Evanston, IL 60201 Phone: 847-869-9870 Fax: 847-869-9870
Dr. Stephanie Anne Ross, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Central St, Suite 800, Evanston, IL 60201 Phone: 773-459-6756 Fax: 773-728-8719

Gustavo Medrano, PHD - Medicare Psychologist in Evanston, IL