Shirley Dorough-carlson, PSYD in Naperville, IL - Medicare Psychologist Provider

Shirley Dorough-carlson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Naperville, Illinois. Her current practice location is 640 N River Rd Ste 108, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 718-0717.

Shirley Dorough-carlson is licensed to practice in Illinois (license number 071005348) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578654455.

Contact Information

	Shirley Dorough-carlson, PSYD
	640 N River Rd Ste 108, Naperville, IL 60563-8947
	(630) 718-0717
	(630) 718-0747

Map and Direction

Healthcare Provider's Profile

Full Name	Shirley Dorough-carlson
Gender	Female
Speciality	Psychologist - Clinical
Location	640 N River Rd Ste 108, Naperville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578654455
Provider Enumeration Date: 09/27/2006
Last Update Date: 09/07/2018

Medicare PECOS Information:

PECOS PAC ID: 4284092537
Enrollment ID: I20231218000181

Medical Identifiers

Medical identifiers for Shirley Dorough-carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578654455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071005348 (Illinois)	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. Shirley Dorough-carlson allows following entities to bill medicare on her behalf.

Entity Name	Fox Valley Institute For Growth And Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174637334 PECOS PAC ID: 0244285617 Enrollment ID: O20050318000054

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. Shirley Dorough-carlson 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
Shirley Dorough-carlson, PSYD 640 N River Rd Ste 108, Naperville, IL 60563-8947 Ph: (630) 718-0717	Shirley Dorough-carlson, PSYD 640 N River Rd Ste 108, Naperville, IL 60563-8947 Ph: (630) 718-0717

Reviews and Comments

Psychologist in Naperville, IL

Dr. Stephanie Spackey, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 445 W Jackson Ave Ste 206, Naperville, IL 60540 Phone: 630-420-2596 Fax: 630-420-2796
Dr. Lorna Helene London, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 643 S Washington St, Naperville, IL 60540 Phone: 630-983-0977 Fax: 630-375-2812
Sue Bae, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1754 N Washington St, Suite 104a, Naperville, IL 60563 Phone: 630-245-0010 Fax: 630-245-1444
Dr. Anjali Soni, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1979 N Mill St, Suite 211, Naperville, IL 60563 Phone: 630-428-2344
Dr. Cynthia Ann Brouillard, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 140 N Wright St, Naperville, IL 60540 Phone: 630-305-6039
Maria Rago, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 S Washington St, Naperville, IL 60540 Phone: 630-637-9300
Dr. Kevin P Sprenkle, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2135 City Gate Ln Ste 300, Naperville, IL 60563 Phone: 630-755-5300 Fax: 331-236-0370

Shirley Dorough-carlson, PSYD - Medicare Psychologist in Naperville, IL