Susan Stasek, PSYCHOLOGIST in Waukegan, IL - Medicare Psychologist Provider

Susan Stasek, PSYCHOLOGIST is a medicare enrolled "Psychologist - Clinical" provider in Waukegan, Illinois. Her current practice location is 2400 Belvidere Rd, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 377-8440.

Susan Stasek is licensed to practice in Illinois (license number 71005965) 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 1447221528.

Contact Information

	Susan Stasek, PSYCHOLOGIST
	2400 Belvidere Rd, Waukegan, IL 60085-6165
	(847) 377-8440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Stasek
Gender	Female
Speciality	Psychologist - Clinical
Location	2400 Belvidere Rd, Waukegan, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447221528
Provider Enumeration Date: 01/27/2006
Last Update Date: 12/09/2015

Medicare PECOS Information:

PECOS PAC ID: 6406749332
Enrollment ID: I20040205000033

Medical Identifiers

Medical identifiers for Susan Stasek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447221528	NPI	-	NPPES
71005965	Other	IL	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	71005965 (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. Susan Stasek allows following entities to bill medicare on her behalf.

Entity Name	Envision Psychological Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477855328 PECOS PAC ID: 2365621265 Enrollment ID: O20110125000280

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. Susan Stasek 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
Susan Stasek, PSYCHOLOGIST 3221 Midlane Drive, Wadsworth, IL 60083-9457 Ph: (847) 293-0384	Susan Stasek, PSYCHOLOGIST 2400 Belvidere Rd, Waukegan, IL 60085-6165 Ph: (847) 377-8440

Reviews and Comments

Psychologist in Waukegan, IL

Courtney Mounce, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-212-4709
Marijke A Sommer, Psychologist Medicare: Medicare Enrolled Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1065
Keli R Poppe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1065
Christine J Rice, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3012 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8081 Fax: 847-336-1517
Deaphine Dew, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1020
Heide Gaskins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1065

Susan Stasek, PSYCHOLOGIST - Medicare Psychologist in Waukegan, IL