Dr Nicole Marie Garcia, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Crystal Lake, Illinois. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Neuroclinic And Assessments Llc and 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
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 1194552752.
Healthcare Provider's Profile
| Full Name | Dr Nicole Marie Garcia |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 360 Station Dr Ste 300, Crystal Lake, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicole Marie Garcia graduated from medical school in 2023
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 |
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| 103TC0700X | Psychologist - Clinical | 071.011296 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071011296 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Neuroclinic And Assessments Llc | 1658524475 | 4 |
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 |
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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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