Seth R Hatlelid, PSYD in Bloomington, IL - Medicare Clinical Psychologist Provider

Seth R Hatlelid, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bloomington, Illinois. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Edgewood Clinical Services P.c., Psychology Specialists Ltd and his current practice location is 1015 S Mercer Ave, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 706-9532.

Seth R Hatlelid is licensed to practice in Illinois (license number 071.006972) 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 1447270368.

Contact Information

	Seth R Hatlelid, PSYD
	1015 S Mercer Ave, Bloomington, IL 61701-7107
	(309) 706-9532
	(309) 588-4115

Map and Direction

Healthcare Provider's Profile

Full Name	Seth R Hatlelid
Gender	Male
Speciality	Clinical Psychologist
Experience	20 Years
Location	1015 S Mercer Ave, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Seth R Hatlelid graduated from medical school in 2004

NPI Data:

NPI Number: 1447270368
Provider Enumeration Date: 07/21/2006
Last Update Date: 06/11/2010

Medicare PECOS Information:

PECOS PAC ID: 4688682545
Enrollment ID: I20060404000334

Medical Identifiers

Medical identifiers for Seth R Hatlelid such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447270368	NPI	-	NPPES
05732028	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.006972 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edgewood Clinical Services P.c.	3971963901	65
Psychology Specialists Ltd	9739152380	7

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. Seth R Hatlelid allows following entities to bill medicare on his behalf.

Entity Name	Psychology Specialists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053368605 PECOS PAC ID: 9739152380 Enrollment ID: O20050112000476

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Seth R Hatlelid 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
Seth R Hatlelid, PSYD Po Box 604, Bloomington, IL 61702-0604 Ph: (309) 706-3190	Seth R Hatlelid, PSYD 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 706-9532

Reviews and Comments

Psychologist in Bloomington, IL

Cheri L. Miller, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 303 N Hershey Rd Ste D1, Bloomington, IL 61704 Phone: 309-268-3529 Fax: 309-268-2323
Jessica Whelan, PMHNP-BC Psychologist Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1400
Dr. Michael C. Baum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-820-3500
Mr. Scott M Hogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 E Hamilton Rd, Bloomington, IL 61704 Phone: 309-828-5231
Dr. Trisha Dyan Mann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 103 N Regency Dr, Bloomington, IL 61701 Phone: 309-661-8046 Fax: 309-661-8093
Dr. Paul Flores, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 308, Bloomington, IL 61701 Phone: 309-204-6766
Dr. Raymond Michael Bergner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821

Seth R Hatlelid, PSYD - Medicare Psychologist in Bloomington, IL