Kelley Thuy-ly Phan, - Medicare Psychologist in Chicago, IL

  1. Home
  2. Psychologists
  3. IL
  4. Chicago
Kelley Thuy-ly Phan, is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. Her current practice location is 259 E Erie St Ste 1600, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-6868.

Kelley Thuy-ly Phan is licensed to practice in Illinois (license number 071010616) 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 1114433463.

Contact Information

Kelley Thuy-ly Phan,
259 E Erie St Ste 1600,
Chicago, IL 60611-3111
(312) 695-6868
(312) 695-2729

Map and Direction




Healthcare Provider's Profile

Full NameKelley Thuy-ly Phan
GenderFemale
SpecialityPsychologist - Clinical
Location259 E Erie St Ste 1600, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114433463
  • Provider Enumeration Date: 12/22/2017
  • Last Update Date: 11/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951792712
  • Enrollment ID: I20220105001503

Medical Identifiers

Medical identifiers for Kelley Thuy-ly Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114433463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071010616 (California)Secondary
103TC0700XPsychologist - Clinical 071010616 (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. Kelley Thuy-ly Phan allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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. Kelley Thuy-ly Phan 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
Kelley Thuy-ly Phan,
259 E Erie St Ste 1600,
Chicago, IL 60611-3111

Ph: (312) 695-6868		Kelley Thuy-ly Phan,
259 E Erie St Ste 1600,
Chicago, IL 60611-3111

Ph: (312) 695-6868

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.