Hooman Keshavarzi, LCPC is a medicare enrolled "Psychologist" provider in Roselle, Illinois. His current practice location is
701 E Irving Park Rd, 102, Roselle, Illinois. You can reach out to his office (for appointments etc.) via phone at
(224) 622-3116.
Hooman Keshavarzi is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932449675.
Healthcare Provider's Profile
| Full Name | Hooman Keshavarzi |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 701 E Irving Park Rd, Roselle, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932449675
- Provider Enumeration Date: 02/17/2013
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022523661
- Enrollment ID: I20250714002157
Medical Identifiers
Medical identifiers for Hooman Keshavarzi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932449675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 180.008541 (Illinois) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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. Hooman Keshavarzi allows following entities to bill medicare on his behalf.
| Entity Name | Khalil Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407225709 PECOS PAC ID: 4284056466 Enrollment ID: O20200616002420 |
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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. Hooman Keshavarzi 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 |
Hooman Keshavarzi, LCPC 701 E Irving Park Rd, 102, Roselle, IL 60172-2322 Ph: (224) 622-3116 | Hooman Keshavarzi, LCPC 701 E Irving Park Rd, 102, Roselle, IL 60172-2322 Ph: (224) 622-3116 |
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