Dr Lisa Cecilia Campbell, PSYD - Medicare Psychologist in Park Ridge, IL

Dr Lisa Cecilia Campbell, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Park Ridge, Illinois. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Willow Wellness Center, Llc and her current practice location is 1400 Renaissance Dr, Suite 401, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 318-8200.

Dr Lisa Cecilia Campbell is licensed to practice in Illinois (license number 071-006617) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184730764.

Contact Information

Dr Lisa Cecilia Campbell, PSYD
1400 Renaissance Dr, Suite 401,
Park Ridge, IL 60068-1329
(847) 318-8200
(847) 318-9170

Map and Direction




Healthcare Provider's Profile

Full NameDr Lisa Cecilia Campbell
GenderFemale
SpecialityClinical Psychologist
Experience22 Years
Location1400 Renaissance Dr, Park Ridge, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Cecilia Campbell graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1184730764
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 12/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6608779111
  • Enrollment ID: I20040131000040

Medical Identifiers

Medical identifiers for Dr Lisa Cecilia Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184730764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071-006617 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Willow Wellness Center, Llc09412752673

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 Lisa Cecilia Campbell allows following entities to bill medicare on her behalf.
Entity NameWillow Wellness Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154437739
PECOS PAC ID: 0941275267
Enrollment ID: O20040831000525

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 Lisa Cecilia Campbell 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 AddressPractice Location Address
Dr Lisa Cecilia Campbell, PSYD
1400 Renaissance Dr, Suite 401,
Park Ridge, IL 60068-1329

Ph: (847) 318-8200
Dr Lisa Cecilia Campbell, PSYD
1400 Renaissance Dr, Suite 401,
Park Ridge, IL 60068-1329

Ph: (847) 318-8200

Reviews and Comments


Psychologist in Park Ridge, IL

Dr. Yuleung Eric To, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Renaissance Dr, Suite 104, Park Ridge, IL 60068
Phone: 224-625-0280    
Ilana Gross, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 36 Main St, Park Ridge, IL 60068
Phone: 847-692-6692    
Dr. Jennifer Palmer, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1675 Dempster St, Park Ridge, IL 60068
Phone: 847-723-2800    
Dr. Laurie J Golden, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-6127    Fax: 847-723-2061
Mrs. Aubrey Hulsebosch,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 S Fairview Ave, Park Ridge, IL 60068
Phone: 847-653-3585    
Dr. Ritu D Trivedi-purohit, PSYD.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1440 Renaissance Dr, Suite 200, Park Ridge, IL 60068
Phone: 847-742-6041    Fax: 866-565-9307
Dr. Stefanie Warning-probst, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-2210    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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