Marc D Bear, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036095995 Issued in IL

Practice address

1011 W Wellington Ave
#210
Chicago, IL 60657-7187

Phone

(773) 458-4671

Fax

(847) 328-3565

NPI assigned

May 24, 2006

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marc D. Bear, M.D., LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1548564537
  Medicare reassignment Authorized official
• Chicago Physician Associates,LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1568661072
  NPD (past)
• Dixon F Spivy MD, LLC

  • Neurology Physician
  • Chicago, IL
  • NPI 1396944807

  Psychiatry

  NPD (past)
• Riverside Psychiatric & Counseling P C

  • Psychiatry Physician
  • Riverside, IL
  • NPI 1689620668
  NPD (past)
• Tapestry 360 Health

  dba Heartland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1407981392
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1821043290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 COLFAX ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012531",
            "telephone_number": "773-458-4671",
            "fax_number": "847-328-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "address_2": "#210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "773-458-4671",
            "fax_number": "847-328-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAR",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036095995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095995",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Frederick Bean, MD
• Katherine Alice Bean, MD
• Zoe Bean
• Ronikia Beane, LCSW
• Andre Beans
• Alfreda D Beard, DDS
• Debra L Beard, HAD
• Glenn A. T. Beard, M. D.
• James Edward Beard, DMD, MS
• Loren Beard

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.