Jill Nicole Delie, PSYD is a medicare enrolled "Psychologist" provider in West Allis, Wisconsin. Her current practice location is
10150 W National Ave Ste 315, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 545-4430.
Jill Nicole Delie is licensed to practice in Wisconsin (license number 4043-57) 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 1437718624.
Healthcare Provider's Profile
| Full Name | Jill Nicole Delie |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 10150 W National Ave Ste 315, West Allis, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437718624
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335674001
- Enrollment ID: I20241119002059
Medical Identifiers
Medical identifiers for Jill Nicole Delie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437718624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 4160-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 4160-226 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 4043-57 (Wisconsin) | 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. Jill Nicole Delie allows following entities to bill medicare on her behalf.
| Entity Name | Vibrant Child Psychology Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104648369
PECOS PAC ID: 2163957820
Enrollment ID: O20241119001865 |
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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. Jill Nicole Delie 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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Jill Nicole Delie, PSYD
10150 W National Ave, Suite 315,
West Allis, WI 53227-2153
Ph: (262) 668-8870 | Jill Nicole Delie, PSYD
10150 W National Ave Ste 315,
West Allis, WI 53227-2145
Ph: (414) 545-4430 |
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