Gustavo Medrano, PHD - Medicare Psychologist in Evanston, IL

Gustavo Medrano, PHD is a medicare enrolled "Psychologist" provider in Evanston, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is 618 Library Pl, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 733-4300.

Gustavo Medrano is licensed to practice in * (Not Available) (license number ) 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 1043624794.

Contact Information

Gustavo Medrano, PHD
618 Library Pl,
Evanston, IL 60201-2908
(847) 733-4300
Not Available



Healthcare Provider's Profile

Full NameGustavo Medrano
GenderMale
SpecialityClinical Psychologist
Experience10 Years
Location618 Library Pl, Evanston, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gustavo Medrano graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1043624794
  • Provider Enumeration Date: 06/19/2014
  • Last Update Date: 06/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9638466337
  • Enrollment ID: I20160923000885

Medical Identifiers

Medical identifiers for Gustavo Medrano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043624794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Board Of Trustees Of The University Of Illinois3072422716929

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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. Gustavo Medrano allows following entities to bill medicare on his behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822147
PECOS PAC ID: 3072422716
Enrollment ID: O20040128001061

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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. Gustavo Medrano 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 AddressPractice Location Address
Gustavo Medrano, PHD
618 Library Pl,
Evanston, IL 60201-2908

Ph: (847) 733-4300
Gustavo Medrano, PHD
618 Library Pl,
Evanston, IL 60201-2908

Ph: (847) 733-4300

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U of C researchers create new model of obsessive-compulsive disorder

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