Dr Nicolette Marie Bernhardt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Melrose Park, Illinois. She graduated from healthcare school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Central Dupage Physician Group and her current practice location is
701 W North Ave, Melrose Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 681-3200.
Dr Nicolette Marie Bernhardt is licensed to practice in Illinois (license number 071.008846) 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 1134350366.
Healthcare Provider's Profile
| Full Name | Dr Nicolette Marie Bernhardt |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 701 W North Ave, Melrose Park, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicolette Marie Bernhardt graduated from medical school in 2010
NPI Data:
- NPI Number: 1134350366
- Provider Enumeration Date: 08/05/2009
- Last Update Date: 02/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911205802
- Enrollment ID: I20160408001022
Medical Identifiers
Medical identifiers for Dr Nicolette Marie Bernhardt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134350366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 178.003966 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008846 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Dupage Physician Group | 5890696231 | 1003 |
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 Nicolette Marie Bernhardt allows following entities to bill medicare on her behalf.
| Entity Name | Rehabilitation Medicine Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093818494
PECOS PAC ID: 5799682217
Enrollment ID: O20040210000748 |
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| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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. Dr Nicolette Marie Bernhardt 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 |
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Dr Nicolette Marie Bernhardt, PSYD
701 W North Ave,
Melrose Park, IL 60160-1612
Ph: (708) 681-3200 | Dr Nicolette Marie Bernhardt, PSYD
701 W North Ave,
Melrose Park, IL 60160-1612
Ph: (708) 681-3200 |
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