Dr Holly Cormier, PHD in Carbondale, IL - Medicare Psychologist Provider

Dr Holly Cormier, PHD is a medicare enrolled "Psychologist - Clinical" provider in Carbondale, Illinois. Her current practice location is 139 Pine Shore Dr, 37, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 303-9610.

Dr Holly Cormier is licensed to practice in Illinois (license number 071006997) 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 1144479478.

Contact Information

	Dr Holly Cormier, PHD
	139 Pine Shore Dr, 37, Carbondale, IL 62902-7503
	(618) 303-9610
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Holly Cormier
Gender	Female
Speciality	Psychologist - Clinical
Location	139 Pine Shore Dr, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144479478
Provider Enumeration Date: 09/10/2008
Last Update Date: 07/30/2014

Medicare PECOS Information:

PECOS PAC ID: 2769919281
Enrollment ID: I20241223001803

Medical Identifiers

Medical identifiers for Dr Holly Cormier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144479478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071006997 (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 Holly Cormier allows following entities to bill medicare on her behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199

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 Holly Cormier 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 Holly Cormier, PHD 139 Pine Shore Dr, Carbondale, IL 62902-7503 Ph: () -	Dr Holly Cormier, PHD 139 Pine Shore Dr, 37, Carbondale, IL 62902-7503 Ph: (618) 303-9610

Reviews and Comments

Psychologist in Carbondale, IL

Jacqueline N Buck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Fishback Rd, Carbondale, IL 62901 Phone: 618-457-1111 Fax: 618-351-1419
Christian Hope Gillespie, PHD, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 810 N Wall St, Carbondale, IL 62901 Phone: 310-270-5878
Dr. Matthew Eric Denis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-4488 Fax: 618-457-8844
Sylvia Lane, PSYD, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 810 N Wall St, Carbondale, IL 62901 Phone: 773-551-7536
Dr. Jeffrey Saunders Kellogg, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-4488 Fax: 618-457-8844
Aireal Dee Weber, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-529-4563
Dr. Warren Thomas Bush, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 374 E Grand Ave, Carbondale, IL 62901 Phone: 618-453-5371

Dr Holly Cormier, PHD - Medicare Psychologist in Carbondale, IL