Georgeann L Iacono Russell, PHD in River Forest, IL - Medicare Clinical Psychologist Provider

Georgeann L Iacono Russell, PHD is a medicare enrolled "Psychologist - Clinical" provider in River Forest, Illinois. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Pcc Community Wellness Center and her current practice location is 7411 West Lake Street, Building A, Suite L120, River Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 488-1919.

Georgeann L Iacono Russell is licensed to practice in Illinois (license number 071-004593) 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 1164552154.

Contact Information

	Georgeann L Iacono Russell, PHD
	7411 West Lake Street, Building A, Suite L120, River Forest, IL 60305-1876
	(708) 488-1919
	(708) 763-2120

Map and Direction

Healthcare Provider's Profile

Full Name	Georgeann L Iacono Russell
Gender	Female
Speciality	Clinical Psychologist
Experience	33 Years
Location	7411 West Lake Street, River Forest, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Georgeann L Iacono Russell graduated from medical school in 1991

NPI Data:

NPI Number: 1164552154
Provider Enumeration Date: 03/07/2007
Last Update Date: 03/11/2011

Medicare PECOS Information:

PECOS PAC ID: 3779478854
Enrollment ID: I20040218000111

Medical Identifiers

Medical identifiers for Georgeann L Iacono Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164552154	NPI	-	NPPES
21623162	Other	IL	BCBS GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071-004593 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pcc Community Wellness Center	1557270139	95

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. Georgeann L Iacono Russell allows following entities to bill medicare on her behalf.

Entity Name	Resilience Healthcare - Lakefront Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205301926 PECOS PAC ID: 5991046468 Enrollment ID: O20190410000827

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. Georgeann L Iacono Russell 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
Georgeann L Iacono Russell, PHD 1825 De Forest Ln, Hanover Park, IL 60133-5905 Ph: (630) 837-8028	Georgeann L Iacono Russell, PHD 7411 West Lake Street, Building A, Suite L120, River Forest, IL 60305-1876 Ph: (708) 488-1919

Reviews and Comments

Psychologist in River Forest, IL

Sappho Risner, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1533 William St Apt 2e, River Forest, IL 60305 Phone: 773-383-5763
Dr. Robert Barry Lees, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 239 Forest Ave, River Forest, IL 60305 Phone: 708-488-1898
Dr. Carlissa Richards Hughes, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 605 Keystone Ave, River Forest, IL 60305 Phone: 312-531-2375
Dr. Thomas J Rostafinski, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7627 Lake St Ste 215, River Forest, IL 60305 Phone: 708-848-1611 Fax: 708-848-1436
Dr. John Edward Mundt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1523 William St, River Forest, IL 60305 Phone: 312-608-0668

Georgeann L Iacono Russell, PHD - Medicare Psychologist in River Forest, IL