Dr K Lara Beanblossom, PSYD in Winnetka, IL - Medicare Clinical Psychologist Provider

Dr K Lara Beanblossom, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Winnetka, Illinois. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 545 Lincoln Ave Ste 4, Winnetka, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 385-9777.

Dr K Lara Beanblossom is licensed to practice in Illinois (license number 071006369) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427184795.

Contact Information

	Dr K Lara Beanblossom, PSYD
	545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349
	(312) 385-9777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr K Lara Beanblossom
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	545 Lincoln Ave Ste 4, Winnetka, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr K Lara Beanblossom graduated from medical school in 2000

NPI Data:

NPI Number: 1427184795
Provider Enumeration Date: 02/23/2007
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 6204884018
Enrollment ID: I20050108000101

Medical Identifiers

Medical identifiers for Dr K Lara Beanblossom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427184795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071006369 (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 K Lara Beanblossom allows following entities to bill medicare on her behalf.

Entity Name	Dr Lara Beanblossom Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497036321 PECOS PAC ID: 9830401140 Enrollment ID: O20150629002688

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 K Lara Beanblossom 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
Dr K Lara Beanblossom, PSYD 30 N Michigan Ave, Ste 901, Chicago, IL 60602-3767 Ph: (312) 385-9777	Dr K Lara Beanblossom, PSYD 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 Ph: (312) 385-9777

Reviews and Comments

Psychologist in Winnetka, IL

Dr. Rebecca Wynne Denosaquo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 545 Lincoln Ave, Suite 15, Winnetka, IL 60093 Phone: 847-331-9156
Dr. Louis Weiss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 545 Lincoln Ave, Suite 15, Winnetka, IL 60093 Phone: 847-441-8567 Fax: 847-441-4993
Dr. John P. Bair, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 391 Provident Ave, Winnetka, IL 60093 Phone: 847-688-1900
Dr. Lail L. Herman, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1051 Cherry St, Winnetka, IL 60093 Phone: 847-446-5383 Fax: 847-446-5389
Dr. Vicki Lynn Seglin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 545 Lincoln Ave, Suite 15, Winnetka, IL 60093 Phone: 847-441-0120 Fax: 847-441-4993
Dr. Linda Lou Millon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 460 Winnetka Ave Ste 9, Winnetka, IL 60093 Phone: 847-501-3636
Michael Hendon, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 588 Lincoln Ave Ste 200, Winnetka, IL 60093 Phone: 773-681-9212

Dr K Lara Beanblossom, PSYD - Medicare Psychologist in Winnetka, IL