Peter A Dodzik, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Arlington Heights, Illinois. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Northwest Behavioral Health Services Pc and his current practice location is
415 W Golf Rd Ste 16, Arlington Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 577-0904.
Peter A Dodzik is licensed to practice in Illinois (license number 071006408) 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 1437156999.
Healthcare Provider's Profile
| Full Name | Peter A Dodzik |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 24 Years |
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| Location | 415 W Golf Rd Ste 16, Arlington Heights, 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:
- Peter A Dodzik graduated from medical school in 2000
NPI Data:
- NPI Number: 1437156999
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224110275
- Enrollment ID: I20120423000225
Medical Identifiers
Medical identifiers for Peter A Dodzik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437156999 | NPI | - | NPPES |
| 200406360 | Medicaid | IN | |
| 680015841 | Other | IN | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 20041718 (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071006408 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071006408 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northwest Behavioral Health Services Pc | 7113964511 | 6 |
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. Peter A Dodzik allows following entities to bill medicare on his behalf.
| Entity Name | Northwest Behavioral Health Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770609315
PECOS PAC ID: 7113964511
Enrollment ID: O20050415000682 |
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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. Peter A Dodzik 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 |
|---|
Peter A Dodzik, PSYD
415 W Golf Rd Ste 16,
Arlington Heights, IL 60005-3923
Ph: (847) 577-0904 | Peter A Dodzik, PSYD
415 W Golf Rd Ste 16,
Arlington Heights, IL 60005-3923
Ph: (847) 577-0904 |
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