Dr Kohl Mitchell Mayberry, DO in Naperville, IL - Medicare Psychiatry & Neurology

Dr Kohl Mitchell Mayberry, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Naperville, Illinois. His current practice location is 1335 N Mill St Ste 100, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 305-5027.

Dr Kohl Mitchell Mayberry is licensed to practice in Illinois (license number 036156105) 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 1295028256.

Contact Information

	Dr Kohl Mitchell Mayberry, DO
	1335 N Mill St Ste 100, Naperville, IL 60563-2047
	(630) 305-5027
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kohl Mitchell Mayberry
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	1335 N Mill St Ste 100, Naperville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295028256
Provider Enumeration Date: 05/24/2011
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4688808223
Enrollment ID: I20221128001447

Medical Identifiers

Medical identifiers for Dr Kohl Mitchell Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295028256	NPI	-	NPPES
007622900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	036.156105 (Illinois)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	036156105 (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. Dr Kohl Mitchell Mayberry allows following entities to bill medicare on his behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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 Kohl Mitchell Mayberry 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
Dr Kohl Mitchell Mayberry, DO 302 Randall Rd Ste 308, Geneva, IL 60134-4205 Ph: (630) 933-4056	Dr Kohl Mitchell Mayberry, DO 1335 N Mill St Ste 100, Naperville, IL 60563-2047 Ph: (630) 305-5027

Reviews and Comments

Psychiatry & Neurology Doctors in Naperville, IL

Safaa Beg, PA-C Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 230 Martin Ave, Naperville, IL 60540 Phone: 630-848-1200
Dr. Sachin Jayant Bhalerao, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1335 N Mill St Ste 100, Naperville, IL 60563 Phone: 630-646-8000 Fax: 630-646-8007
Mark N. Rubin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1552 S Route 59 # 1222, Naperville, IL 60564 Phone: 630-447-0561
Dr. Sandeep Narayan Gaonkar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1560 Wall St Ste 304, Naperville, IL 60563 Phone: 630-416-8289 Fax: 630-416-8306
Dr. Manjinder Kaur Brar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 E Diehl Rd, Naperville, IL 60563 Phone: 630-428-7890
Dr. Li Zhang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 101, Naperville, IL 60540 Phone: 630-527-7730 Fax: 630-527-7732
Dr. Marjorie S. Ardon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7s430 Donwood Trails Dr, Naperville, IL 60540 Phone: 630-369-9280

Dr Kohl Mitchell Mayberry, DO - Medicare Psychiatry & Neurology in Naperville, IL