Ms Suzanna Zavaleta, PHD is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. She graduated from healthcare school in 2002 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lawndale Christian Health Center and her current practice location is
3860 W Ogden Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(872) 588-3000.
Ms Suzanna Zavaleta is licensed to practice in Illinois (license number 071008649) 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 1073813382.
Healthcare Provider's Profile
| Full Name | Ms Suzanna Zavaleta |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 24 Years |
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| Location | 3860 W Ogden Ave, Chicago, 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:
- Ms Suzanna Zavaleta graduated from medical school in 2002
NPI Data:
- NPI Number: 1073813382
- Provider Enumeration Date: 11/02/2010
- Last Update Date: 12/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 0648546986
- Enrollment ID: I20171101000031
Medical Identifiers
Medical identifiers for Ms Suzanna Zavaleta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073813382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 180007610 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071008649 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lawndale Christian Health Center | 2264336346 | 109 |
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. Ms Suzanna Zavaleta 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 |
|---|
Ms Suzanna Zavaleta, PHD
3860 W Ogden Ave,
Chicago, IL 60623-2460
Ph: (872) 588-3000 | Ms Suzanna Zavaleta, PHD
3860 W Ogden Ave,
Chicago, IL 60623-2460
Ph: (872) 588-3000 |
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