Dr W Douglas Vaselakos, PSYD is a medicare enrolled "Psychoanalyst" provider in Orland Park, Illinois. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice V And R Behavioral Health Services Ltd and his current practice location is
700 Ravinia Pl, Orland Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 226-0010.
Dr W Douglas Vaselakos is licensed to practice in Illinois (license number 071006093) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235213968.
Healthcare Provider's Profile
| Full Name | Dr W Douglas Vaselakos |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 700 Ravinia Pl, Orland Park, Illinois |
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| Accepts Medicare Assignments | Yes. He 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 W Douglas Vaselakos graduated from medical school in 1999
NPI Data:
- NPI Number: 1235213968
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032014360
- Enrollment ID: I20111017000652
Medical Identifiers
Medical identifiers for Dr W Douglas Vaselakos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235213968 | NPI | - | NPPES |
| 0001622805 | Other | IL | BLUECROSS PROVIDER NUMBER |
| 364250769 | Other | IL | TAX IDENTIFICATION NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071006093 (Illinois) | Secondary |
| 102L00000X | Psychoanalyst | 071006093 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| V And R Behavioral Health Services Ltd | 1355246661 | 2 |
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 W Douglas Vaselakos allows following entities to bill medicare on his behalf.
| Entity Name | V & R Behavioral Health Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275661274
PECOS PAC ID: 1355246661
Enrollment ID: O20031201000309 |
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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 W Douglas Vaselakos 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 W Douglas Vaselakos, PSYD
700 Ravinia Pl,
Orland Park, IL 60462-3700
Ph: (708) 226-0010 | Dr W Douglas Vaselakos, PSYD
700 Ravinia Pl,
Orland Park, IL 60462-3700
Ph: (708) 226-0010 |
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