Dr Darah Elaine Wallsten, PSYD in Evanston, IL - Medicare Psychologist Provider

Dr Darah Elaine Wallsten, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Evanston, Illinois. Her current practice location is 636 Church St Ste 405, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 250-9959.

Dr Darah Elaine Wallsten is licensed to practice in Hawaii (license number 4156) 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 1831476985.

Contact Information

	Dr Darah Elaine Wallsten, PSYD
	636 Church St Ste 405, Evanston, IL 60201-4580
	(847) 250-9959
	(847) 306-8118

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Darah Elaine Wallsten
Gender	Female
Speciality	Psychologist - Clinical
Location	636 Church St Ste 405, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831476985
Provider Enumeration Date: 11/03/2011
Last Update Date: 06/04/2025

Medicare PECOS Information:

PECOS PAC ID: 7810156783
Enrollment ID: I20140912000506

Medical Identifiers

Medical identifiers for Dr Darah Elaine Wallsten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831476985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.021040 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	4156 (Hawaii)	Primary
103TC0700X	Psychologist - Clinical	4187 (North Carolina)	Secondary

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 Darah Elaine Wallsten allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063515567 PECOS PAC ID: 1850205360 Enrollment ID: O20031119000948

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 Darah Elaine Wallsten 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 Darah Elaine Wallsten, PSYD 16-566 Keaau Pahoa Rd # 614, Keaau, HI 96749-8137 Ph: (808) 756-5030	Dr Darah Elaine Wallsten, PSYD 636 Church St Ste 405, Evanston, IL 60201-4580 Ph: (847) 250-9959

Reviews and Comments

Psychologist in Evanston, IL

Dr. Sheila M. Culkin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 636 Church St, Suite #421, Evanston, IL 60201 Phone: 847-328-3120
Dr. Punam Rahman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1601 Sherman Ave Ste 210, Evanston, IL 60201 Phone: 855-264-9355
Paris Jetaun Ball, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave Ste G155, Evanston, IL 60201 Phone: 847-570-1600 Fax: 847-733-5640
Dr. Idy Barasch Gitelson, PH. D.. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2827 Harrison Street, Evanston, IL 60201 Phone: 847-475-5686
Dr. Diana Beliard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave, Suite 308, Evanston, IL 60201 Phone: 847-328-9566 Fax: 847-784-5052
Christine V. Petersen, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2530 Crawford Ave Ste 212, Evanston, IL 60201 Phone: 773-469-7339
Dr. Kathy S. Greenberger, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2814 Garrison Ave, Evanston, IL 60201 Phone: 847-869-9870 Fax: 847-869-9870

Dr Darah Elaine Wallsten, PSYD - Medicare Psychologist in Evanston, IL