Krystel Segovia, in Bolingbrook, IL - Medicare Psychologist Provider

Krystel Segovia, is a medicare enrolled "Psychologist - Clinical" provider in Bolingbrook, Illinois. Her current practice location is 5 Picnic Ct, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (331) 213-1075.

Krystel Segovia is licensed to practice in Illinois (license number 071010908) 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 1154034650.

Contact Information

	Krystel Segovia,
	5 Picnic Ct, Bolingbrook, IL 60490-6542
	(331) 213-1075
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krystel Segovia
Gender	Female
Speciality	Psychologist - Clinical
Location	5 Picnic Ct, 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: 1154034650
Provider Enumeration Date: 12/29/2022
Last Update Date: 12/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4981076536
Enrollment ID: I20230208002744

Medical Identifiers

Medical identifiers for Krystel Segovia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154034650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071010908 (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. Krystel Segovia allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Interfaith Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497842983 PECOS PAC ID: 8426014994 Enrollment ID: O20041207000048

Entity Name	Rising Phoenix Mental Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669180493 PECOS PAC ID: 4789044314 Enrollment ID: O20230714001157

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. Krystel Segovia 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
Krystel Segovia, 5 Picnic Ct, Bolingbrook, IL 60490-6542 Ph: (331) 213-1075	Krystel Segovia, 5 Picnic Ct, Bolingbrook, IL 60490-6542 Ph: (331) 213-1075

Reviews and Comments

Psychologist in Bolingbrook, IL

Vincent Miller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Recreation Dr, Bolingbrook, IL 60440 Phone: 630-972-9200
Miss Maria Teresa Ramos, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Blair Ln, Bolingbrook, IL 60440 Phone: 630-759-6340
Mrs. Jennifer Ann Mamak, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1470 Raven Dr, Bolingbrook, IL 60490 Phone: 630-771-2420
Mrs. Lara Elisabeth Van Beek, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 King Arthur Way, Bolingbrook, IL 60440 Phone: 630-739-3603
Juliet I Dinkha, Psychologist Medicare: Medicare Enrolled Practice Location: 149 Beaver Creek Dr, Bolingbrook, IL 60490 Phone: 312-684-5449
Ms. Lateena Smith, EDS Psychologist Medicare: Medicare Enrolled Practice Location: 682 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-398-6204

Krystel Segovia, - Medicare Psychologist in Bolingbrook, IL