Martha Jeanne Kowalczyk, PHD in Chicago, IL - Medicare Psychologist Provider

Martha Jeanne Kowalczyk, PHD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. Her current practice location is 3042 N Kenmore Ave Apt 2s, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (260) 402-4300.

Martha Jeanne Kowalczyk is licensed to practice in Illinois (license number 071.009474) 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 1093406522.

Contact Information

	Martha Jeanne Kowalczyk, PHD
	3042 N Kenmore Ave Apt 2s, Chicago, IL 60657-9674
	(260) 402-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Martha Jeanne Kowalczyk
Gender	Female
Speciality	Psychologist - Clinical
Location	3042 N Kenmore Ave Apt 2s, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093406522
Provider Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2062857535
Enrollment ID: I20240224000183

Medical Identifiers

Medical identifiers for Martha Jeanne Kowalczyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093406522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.009474 (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. Martha Jeanne Kowalczyk allows following entities to bill medicare on her behalf.

Entity Name	Chicago Psychology Services , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487120317 PECOS PAC ID: 3476899477 Enrollment ID: O20190111002524

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. Martha Jeanne Kowalczyk 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
Martha Jeanne Kowalczyk, PHD 3042 N Kenmore Ave Apt 2s, Chicago, IL 60657-9674 Ph: () -	Martha Jeanne Kowalczyk, PHD 3042 N Kenmore Ave Apt 2s, Chicago, IL 60657-9674 Ph: (260) 402-4300

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

Martha Jeanne Kowalczyk, PHD - Medicare Psychologist in Chicago, IL