Dr Nicole Marie Garcia, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Crystal Lake, Illinois. Her current practice location is
360 Station Dr Ste 300, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 455-1800.
Dr Nicole Marie Garcia is licensed to practice in Illinois (license number 071011296) 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 1194552752.
Healthcare Provider's Profile
Full Name | Dr Nicole Marie Garcia |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 360 Station Dr Ste 300, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194552752
- Provider Enumeration Date: 09/17/2024
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537683826
- Enrollment ID: I20250408002477
Medical Identifiers
Medical identifiers for Dr Nicole Marie Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194552752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071.011296 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 071011296 (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 Nicole Marie Garcia allows following entities to bill medicare on her behalf.
Entity Name | Neuroclinic And Assessments Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053673988 PECOS PAC ID: 1658524475 Enrollment ID: O20130103000288 |
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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 Nicole Marie Garcia 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 Nicole Marie Garcia, PSYD 360 Station Dr Ste 300, Crystal Lake, IL 60014-8003 Ph: (815) 455-1800 | Dr Nicole Marie Garcia, PSYD 360 Station Dr Ste 300, Crystal Lake, IL 60014-8003 Ph: (815) 455-1800 |
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