Dr Robert Beedle, PHD in East Chicago, IN - Medicare Psychologist Provider

Dr Robert Beedle, PHD is a medicare enrolled "Psychologist - Clinical" provider in East Chicago, Indiana. His current practice location is 3903 Indianapolis Blvd, East Chicago, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 769-4005.

Dr Robert Beedle is licensed to practice in Indiana (license number 20053875B) 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 1982386751.

Contact Information

	Dr Robert Beedle, PHD
	3903 Indianapolis Blvd, East Chicago, IN 46312-2555
	(219) 769-4005
	(219) 937-5808

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Robert Beedle
Gender	Male
Speciality	Psychologist - Clinical
Location	3903 Indianapolis Blvd, East Chicago, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982386751
Provider Enumeration Date: 08/02/2023
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5698202430
Enrollment ID: I20241218002256

Medical Identifiers

Medical identifiers for Dr Robert Beedle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982386751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20043875A (Indiana)	Secondary
172V00000X	Community Health Worker	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	20053875B (Indiana)	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 Robert Beedle allows following entities to bill medicare on his behalf.

Entity Name	Southlake Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199

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 Robert Beedle 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 Robert Beedle, PHD 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 769-4005	Dr Robert Beedle, PHD 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 769-4005

Reviews and Comments

Psychologist in East Chicago, IN

Joanne Tischina, PSYD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050
Bethany Cook, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-392-6001
Bernardo Flores, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 W Chicago Ave, East Chicago, IN 46312 Phone: 219-392-6061
Angelina L Valente, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050
Sharon Kraus, PH.D, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-757-1950
Dr. Anissa Rivers, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998
Ms. Robbin Desiree Lewis Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7025

Dr Robert Beedle, PHD - Medicare Psychologist in East Chicago, IN