Seth R Hatlelid, PSYD in Bloomington, IL - Medicare Clinical Psychologist Provider

Seth R Hatlelid, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bloomington, Illinois. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Edgewood Clinical Services P.c. and his current practice location is 1015 S Mercer Ave, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 706-9532.

Seth R Hatlelid is licensed to practice in Illinois (license number 071.006972) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447270368.

Contact Information

	Seth R Hatlelid, PSYD
	1015 S Mercer Ave, Bloomington, IL 61701-7107
	(309) 706-9532
	(309) 588-4115

Map and Direction

Healthcare Provider's Profile

Full Name	Seth R Hatlelid
Gender	Male
Speciality	Clinical Psychologist
Experience	20 Years
Location	1015 S Mercer Ave, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Seth R Hatlelid graduated from medical school in 2004

NPI Data:

NPI Number: 1447270368
Provider Enumeration Date: 07/21/2006
Last Update Date: 06/11/2010

Medicare PECOS Information:

PECOS PAC ID: 4688682545
Enrollment ID: I20060404000334

Medical Identifiers

Medical identifiers for Seth R Hatlelid such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447270368	NPI	-	NPPES
05732028	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.006972 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edgewood Clinical Services P.c.	3971963901	106

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. Seth R Hatlelid allows following entities to bill medicare on his behalf.

Entity Name	Psychology Specialists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053368605 PECOS PAC ID: 9739152380 Enrollment ID: O20050112000476

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Seth R Hatlelid 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
Seth R Hatlelid, PSYD Po Box 604, Bloomington, IL 61702-0604 Ph: (309) 706-3190	Seth R Hatlelid, PSYD 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 706-9532

Reviews and Comments

Psychologist in Bloomington, IL

Cheri L. Miller, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 303 N Hershey Rd Ste D1, Bloomington, IL 61704 Phone: 309-268-3529 Fax: 309-268-2323
Dr. Michael C. Baum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-820-3500
Mr. Scott M Hogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 E Hamilton Rd, Bloomington, IL 61704 Phone: 309-828-5231
Dr. Trisha Dyan Mann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 103 N Regency Dr, Bloomington, IL 61701 Phone: 309-661-8046 Fax: 309-661-8093
Dr. Paul Flores, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 308, Bloomington, IL 61701 Phone: 309-204-6766
Dr. Raymond Michael Bergner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821
Dr. Laurie L. Bergner, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821

Seth R Hatlelid, PSYD - Medicare Psychologist in Bloomington, IL