Dr Alexandra Coleman, PSYD is a medicare enrolled "Psychologist" provider in Chicago, Illinois. Her current practice location is
1500 S Fairfield Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 257-4026.
Dr Alexandra Coleman is licensed to practice in Illinois (license number 071011027) 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 1043532567.
Healthcare Provider's Profile
Full Name | Dr Alexandra Coleman |
---|
Gender | Female |
---|
Speciality | Psychologist |
---|
Location | 1500 S Fairfield Ave, Chicago, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043532567
- Provider Enumeration Date: 02/25/2010
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729437827
- Enrollment ID: I20231214002998
Medical Identifiers
Medical identifiers for Dr Alexandra Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043532567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 071011027 (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 Alexandra Coleman allows following entities to bill medicare on her behalf.
Entity Name | Mount Sinai Community Foundation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
---|
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 Alexandra Coleman 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 Alexandra Coleman, PSYD 1500 S Fairfield Ave, Chicago, IL 60608-1782 Ph: (773) 257-4750 | Dr Alexandra Coleman, PSYD 1500 S Fairfield Ave, Chicago, IL 60608-1782 Ph: (773) 257-4026 |
Reviews and Comments