Dr Daniel Polonsky, PSYD in Northbrook, IL - Medicare Psychologist Provider

Dr Daniel Polonsky, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Northbrook, Illinois. His current practice location is 1916 Deercrest Ln, Northbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 449-6084.

Dr Daniel Polonsky is licensed to practice in Illinois (license number 071.011398) 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 1174335111.

Contact Information

	Dr Daniel Polonsky, PSYD
	1916 Deercrest Ln, Northbrook, IL 60062-5074
	(847) 449-6084
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daniel Polonsky
Gender	Male
Speciality	Psychologist - Clinical
Location	1916 Deercrest Ln, Northbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174335111
Provider Enumeration Date: 01/27/2025
Last Update Date: 10/10/2025

Medicare PECOS Information:

PECOS PAC ID: 9638696156
Enrollment ID: I20250508001017

Medical Identifiers

Medical identifiers for Dr Daniel Polonsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174335111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	03351 (Kansas)	Secondary
103G00000X	Clinical Neuropsychologist	071.011398 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	071.011398 (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 Daniel Polonsky allows following entities to bill medicare on his behalf.

Entity Name	Gregory Malo Psyd & Associates In Neuropsychology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932264207 PECOS PAC ID: 5799881488 Enrollment ID: O20070425000582

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 Daniel Polonsky 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 Daniel Polonsky, PSYD 1916 Deercrest Ln, Northbrook, IL 60062-5074 Ph: (847) 449-6084	Dr Daniel Polonsky, PSYD 1916 Deercrest Ln, Northbrook, IL 60062-5074 Ph: (847) 449-6084

Reviews and Comments

Psychologist in Northbrook, IL

Dr. Elie Saltzman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 666 Dundee Rd Ste 305, Northbrook, IL 60062 Phone: 847-656-5080
Rajkumar Periasamy, Psychologist Medicare: Medicare Enrolled Practice Location: 666 Dundee Rd Ste 708, Northbrook, IL 60062 Phone: 312-900-8642
Paris Ball, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 Revere Dr Ste 200, Northbrook, IL 60062 Phone: 847-412-4350
Barry Alpert, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 666 Dundee Rd, Suite 1302, Northbrook, IL 60062 Phone: 847-400-5588 Fax: 847-400-5828
Sheldon Cotler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1535 Lake Cook Rd, 111, Northbrook, IL 60062 Phone: 847-498-4744 Fax: 847-498-4811
Ashley Lambert, M.S. Psychologist Medicare: Medicare Enrolled Practice Location: 255 Revere Dr, Northbrook, IL 60062 Phone: 847-412-4350
Shuting Yong, M.A., M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Skokie Blvd, Northbrook, IL 60062 Phone: 847-607-1589

Dr Daniel Polonsky, PSYD - Medicare Psychologist in Northbrook, IL