Juliet I Dinkha, in Bolingbrook, IL - Medicare Psychologist Provider

Juliet I Dinkha, is a medicare enrolled "Psychologist - Clinical" provider in Bolingbrook, Illinois. Her current practice location is 149 Beaver Creek Dr, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 684-5449.

Juliet I Dinkha is licensed to practice in Illinois (license number 071.006781) 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 1285219899.

Contact Information

	Juliet I Dinkha,
	149 Beaver Creek Dr, Bolingbrook, IL 60490-5556
	(312) 684-5449
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Juliet I Dinkha
Gender	Female
Speciality	Psychologist - Clinical
Location	149 Beaver Creek Dr, Bolingbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285219899
Provider Enumeration Date: 03/15/2021
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3577520683
Enrollment ID: I20041210000038

Medical Identifiers

Medical identifiers for Juliet I Dinkha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285219899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.006781 (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. Juliet I Dinkha allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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. Juliet I Dinkha 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
Juliet I Dinkha, 149 Beaver Creek Dr, Bolingbrook, IL 60490-5556 Ph: (312) 684-5449	Juliet I Dinkha, 149 Beaver Creek Dr, Bolingbrook, IL 60490-5556 Ph: (312) 684-5449

Reviews and Comments

Psychologist in Bolingbrook, IL

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Juliet I Dinkha, - Medicare Psychologist in Bolingbrook, IL