Dr Latreece Evette Dickerson, PSYD - Medicare Psychologist in Chicago, IL

Dr Latreece Evette Dickerson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 9933 S Western Ave Ste 203, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 730-3966.

Dr Latreece Evette Dickerson is licensed to practice in Illinois (license number 071009102) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053409722.

Contact Information

Dr Latreece Evette Dickerson, PSYD
9933 S Western Ave Ste 203,
Chicago, IL 60643-1810
(312) 730-3966
(312) 803-1635

Map and Direction




Healthcare Provider's Profile

Full NameDr Latreece Evette Dickerson
GenderFemale
SpecialityClinical Psychologist
Experience11 Years
Location9933 S Western Ave Ste 203, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Latreece Evette Dickerson graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1053409722
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 11/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042445769
  • Enrollment ID: I20180531002948

Medical Identifiers

Medical identifiers for Dr Latreece Evette Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053409722NPI-NPPES
1437667805OtherILPARTNERSHIPS IN BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149-008520 (Illinois)Secondary
103TC0700XPsychologist - Clinical 071009102 (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. Dr Latreece Evette Dickerson allows following entities to bill medicare on her behalf.
Entity NamePartnerships In Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437667805
PECOS PAC ID: 9335495944
Enrollment ID: O20180711002390

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. Dr Latreece Evette Dickerson 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
Dr Latreece Evette Dickerson, PSYD
9933 S Western Ave Ste 203,
Chicago, IL 60643-1810

Ph: (312) 730-3966
Dr Latreece Evette Dickerson, PSYD
9933 S Western Ave Ste 203,
Chicago, IL 60643-1810

Ph: (312) 730-3966

Reviews and Comments


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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.