Dr Andrew B Mouton, PHD in Orland Park, IL - Medicare Psychologist Provider

Dr Andrew B Mouton, PHD is a medicare enrolled "Psychologist - Clinical" provider in Orland Park, Illinois. His current practice location is 10640 W 165th Street, Orland Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 364-0261.

Dr Andrew B Mouton is licensed to practice in Illinois (license number 071004325) 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 1477500825.

Contact Information

	Dr Andrew B Mouton, PHD
	10640 W 165th Street, Orland Park, IL 60467-5653
	(708) 364-0261
	(708) 364-6019

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew B Mouton
Gender	Male
Speciality	Psychologist - Clinical
Location	10640 W 165th Street, Orland Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477500825
Provider Enumeration Date: 05/30/2006
Last Update Date: 05/13/2009

Medicare PECOS Information:

PECOS PAC ID: 9133022866
Enrollment ID: I20040202000455

Medical Identifiers

Medical identifiers for Dr Andrew B Mouton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477500825	NPI	-	NPPES
071004325	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071004325 (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 Andrew B Mouton allows following entities to bill medicare on his behalf.

Entity Name	Sigma Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720035843 PECOS PAC ID: 2961305693 Enrollment ID: O20040130000006

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 Andrew B Mouton 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 Andrew B Mouton, PHD 10640 W 165th Street, Orland Park, IL 60467-5653 Ph: (708) 364-0261	Dr Andrew B Mouton, PHD 10640 W 165th Street, Orland Park, IL 60467-5653 Ph: (708) 364-0261

Reviews and Comments

Psychologist in Orland Park, IL

Dr. Charles Larson Alexander, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 15020 S Ravinia Ave, Orland Park, IL 60462 Phone: 708-873-9059 Fax: 708-428-4504
Dr. Michael Ralph Scherer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10640 W 165th Street, Orland Park, IL 60467 Phone: 708-364-0261 Fax: 708-364-6019
Dr. Raquel Nowak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9631 W 153rd St Ste 38, Orland Park, IL 60462 Phone: 773-888-2586
Dr. Carolyn Guerra Burns, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Ravinia, Orland Park, IL 60527 Phone: 708-460-1212 Fax: 708-460-8396
Roger L Parks, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15127 S 73rd Ave, Suite G, Orland Park, IL 60462 Phone: 616-942-8060 Fax: 616-942-6690
Dr. Kelly Graham, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 9601 165th St, Suite 6, Orland Park, IL 60467 Phone: 708-539-8002
Dr. Julie A Leonard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60 Orland Square Dr Ste 203, Orland Park, IL 60462 Phone: 708-364-7046 Fax: 708-364-7048

Dr Andrew B Mouton, PHD - Medicare Psychologist in Orland Park, IL