Dale Robert Korinek, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Springfield, Illinois. His current practice location is
319 E Madison St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 545-7625.
Dale Robert Korinek is licensed to practice in Illinois (license number 071.010786) 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 1053054783.
Healthcare Provider's Profile
| Full Name | Dale Robert Korinek |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 319 E Madison St, Springfield, Illinois |
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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: 1053054783
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567846504
- Enrollment ID: I20220825000878
Medical Identifiers
Medical identifiers for Dale Robert Korinek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053054783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 071.010786 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.010786 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071.010786 (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. Dale Robert Korinek allows following entities to bill medicare on his behalf.
| Entity Name | Siu Physicians & Surgeons Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769 |
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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. Dale Robert Korinek 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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Dale Robert Korinek, PSYD
201 E Madison St Ste 328,
Springfield, IL 62702-5131
Ph: (217) 545-8000 | Dale Robert Korinek, PSYD
319 E Madison St,
Springfield, IL 62701-1035
Ph: (217) 545-7625 |
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