Charles Whetsell, PHD is a medicare enrolled "Psychologist" provider in Irondale, Alabama. His current practice location is
1424 Montclair Rd, Irondale, Alabama. You can reach out to his office (for appointments etc.) via phone at
(910) 742-9243.
Charles Whetsell is licensed to practice in Alabama (license number 817) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518183540.
Healthcare Provider's Profile
| Full Name | Charles Whetsell |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1424 Montclair Rd, Irondale, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518183540
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 12/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 4183962533
- Enrollment ID: I20190211002946
Medical Identifiers
Medical identifiers for Charles Whetsell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518183540 | NPI | - | NPPES |
| 515-76172 | Other | AL | BCBS OF AL # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 817 (Alabama) | 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. Charles Whetsell allows following entities to bill medicare on his behalf.
| Entity Name | Noahs Ark Child & Family Treatment Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093122533
PECOS PAC ID: 5890035299
Enrollment ID: O20190321002183 |
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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. Charles Whetsell 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 |
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Charles Whetsell, PHD
Po Box 538622,
Atlanta, GA 30353-8622
Ph: (910) 535-1211 | Charles Whetsell, PHD
1424 Montclair Rd,
Irondale, AL 35210-2208
Ph: (910) 742-9243 |
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