Gina Marie Dattilo, PSYD in Elverson, PA - Medicare Clinical Psychologist Provider

Gina Marie Dattilo, PSYD is a medicare enrolled "Psychologist" provider in Elverson, Pennsylvania. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Springfield Psychological Pc and her current practice location is 293 Hopewell Rd, Elverson, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (540) 209-4717.

Gina Marie Dattilo is licensed to practice in Pennsylvania (license number PS017764) 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 1497902829.

Contact Information

	Gina Marie Dattilo, PSYD
	293 Hopewell Rd, Elverson, PA 19520
	(540) 209-4717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gina Marie Dattilo
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	293 Hopewell Rd, Elverson, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gina Marie Dattilo graduated from medical school in 2005

NPI Data:

NPI Number: 1497902829
Provider Enumeration Date: 08/27/2008
Last Update Date: 08/28/2018

Medicare PECOS Information:

PECOS PAC ID: 1355401530
Enrollment ID: I20220301001099

Medical Identifiers

Medical identifiers for Gina Marie Dattilo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497902829	NPI	-	NPPES
PS017764	Other	PA	COMMONWELATH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS017764 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Psychological Pc	1456322973	90

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. Gina Marie Dattilo allows following entities to bill medicare on her behalf.

Entity Name	Springfield Psychological Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295705317 PECOS PAC ID: 1456322973 Enrollment ID: O20040805001143

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. Gina Marie Dattilo 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
Gina Marie Dattilo, PSYD 293 Hopewell Rd, Elverson, PA 19520-8804 Ph: (540) 209-4717	Gina Marie Dattilo, PSYD 293 Hopewell Rd, Elverson, PA 19520 Ph: (540) 209-4717

Gina Marie Dattilo, PSYD - Medicare Psychologist in Elverson, PA