Mr Pagel Edward Palmer Jr, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Addison, Illinois. His current practice location is
303 W Lake St Ste 301, Addison, Illinois. You can reach out to his office (for appointments etc.) via phone at
(331) 221-1650.
Mr Pagel Edward Palmer Jr is licensed to practice in Illinois (license number 166001825) 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 1043931231.
Healthcare Provider's Profile
Full Name | Mr Pagel Edward Palmer Jr |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 303 W Lake St Ste 301, Addison, 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: 1043931231
- Provider Enumeration Date: 09/07/2022
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335582444
- Enrollment ID: I20240220003173
Medical Identifiers
Medical identifiers for Mr Pagel Edward Palmer Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043931231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 166001825 (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. Mr Pagel Edward Palmer Jr allows following entities to bill medicare on his behalf.
Entity Name | Dekalb Behavioral Health Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872 |
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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. Mr Pagel Edward Palmer Jr 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 |
Mr Pagel Edward Palmer Jr, LMFT 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (331) 221-1650 | Mr Pagel Edward Palmer Jr, LMFT 303 W Lake St Ste 301, Addison, IL 60101-2565 Ph: (331) 221-1650 |
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