Jerry J Sweet, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Evanston, Illinois. His current practice location is
909 Davis St Ste 160, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 425-6400.
Jerry J Sweet is licensed to practice in Illinois (license number 071002626) 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 1518033869.
Healthcare Provider's Profile
| Full Name | Jerry J Sweet |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 909 Davis St Ste 160, Evanston, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518033869
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 10/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537192539
- Enrollment ID: I20050912000124
Medical Identifiers
Medical identifiers for Jerry J Sweet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518033869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 071002626 (Illinois) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 071002626 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071002626 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071002626 (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. Jerry J Sweet allows following entities to bill medicare on his behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Jerry J Sweet 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 |
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Jerry J Sweet, PHD
909 Davis St Ste 160,
Evanston, IL 60201-3664
Ph: (847) 425-6400 | Jerry J Sweet, PHD
909 Davis St Ste 160,
Evanston, IL 60201
Ph: (847) 425-6400 |
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