Mr Dennis Delfosse, LCPC is a medicare enrolled "Counselor - Professional" provider in Chicago, Illinois. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Kp Counseling Ltd and his current practice location is
4753 N Broadway St, Suite 900, 910, 925, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 989-2780.
Mr Dennis Delfosse is licensed to practice in Illinois (license number 180003164) 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 1164512182.
Healthcare Provider's Profile
| Full Name | Mr Dennis Delfosse |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 34 Years |
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| Location | 4753 N Broadway St, Chicago, Illinois |
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| 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:
- Mr Dennis Delfosse graduated from medical school in 1992
NPI Data:
- NPI Number: 1164512182
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234676065
- Enrollment ID: I20240730000899
Medical Identifiers
Medical identifiers for Mr Dennis Delfosse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164512182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 180-003164 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180003164 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Kp Counseling Ltd | 1254318983 | 19 |
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. Mr Dennis Delfosse allows following entities to bill medicare on his behalf.
| Entity Name | Kp Counseling Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770630766 PECOS PAC ID: 1254318983 Enrollment ID: O20040701000375 |
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| Entity Name | Richard Kneip Phd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199 |
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| Entity Name | Optum Behavioral Care Therapy Services Of Illinois Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235949553 PECOS PAC ID: 2163944190 Enrollment ID: O20250319003644 |
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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. Mr Dennis Delfosse 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 |
Mr Dennis Delfosse, LCPC 4753 N Broadway St, Suite 900, 910, 925, Chicago, IL 60640-5266 Ph: (773) 989-2780 | Mr Dennis Delfosse, LCPC 4753 N Broadway St, Suite 900, 910, 925, Chicago, IL 60640-5266 Ph: (773) 989-2780 |
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