Dr Alwyn S Whitehead Jr, PSYD in Saint Louis, MO - Medicare Psychologist Provider

Dr Alwyn S Whitehead Jr, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Saint Louis, Missouri. His current practice location is 6920 Bancroft Ave, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 234-1670.

Dr Alwyn S Whitehead Jr is licensed to practice in Missouri (license number 2002011127) 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 1922212604.

Contact Information

	Dr Alwyn S Whitehead Jr, PSYD
	6920 Bancroft Ave, Saint Louis, MO 63109-1902
	(417) 234-1670
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alwyn S Whitehead Jr
Gender	Male
Speciality	Psychologist - Clinical
Location	6920 Bancroft Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922212604
Provider Enumeration Date: 05/10/2007
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 3678588167
Enrollment ID: I20060223000312

Medical Identifiers

Medical identifiers for Dr Alwyn S Whitehead Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922212604	NPI	-	NPPES
43-1804357	Other	MO	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2002011127 (Missouri)	Secondary
103TF0200X	Psychologist - Forensic	2002011127 (Missouri)	Secondary
103TC0700X	Psychologist - Clinical	2002011127 (Missouri)	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. Dr Alwyn S Whitehead Jr allows following entities to bill medicare on his behalf.

Entity Name	Deer Oaks Mental Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040813000106

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. Dr Alwyn S Whitehead Jr 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
Dr Alwyn S Whitehead Jr, PSYD 6920 Bancroft Ave, Saint Louis, MO 63109-1902 Ph: (417) 234-1670	Dr Alwyn S Whitehead Jr, PSYD 6920 Bancroft Ave, Saint Louis, MO 63109-1902 Ph: (417) 234-1670

Reviews and Comments

Psychologist in Saint Louis, MO

Karen Andre Johnston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100
Dr. Sarah Margaret Hanly, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-577-5667 Fax: 314-268-2784
Yoshiko Hall, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 Phone: 630-456-1369
Dr. Lizette Janine Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4316 Lindell Blvd, Saint Louis, MO 63108 Phone: 314-533-2229 Fax: 314-533-7496
Jerry Dunn, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, Saint Louis, MO 63121 Phone: 314-516-7342 Fax: 314-516-6624
Dr. Daniel Jeremy Williger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10820 Sunset Office Dr 210, Saint Louis, MO 63127 Phone: 314-712-0365 Fax: 314-549-8807
Dr. Robert Edward Schlitt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9116 Big Bend Blvd, Saint Louis, MO 63119 Phone: 314-961-5511 Fax: 314-961-5511

Dr Alwyn S Whitehead Jr, PSYD - Medicare Psychologist in Saint Louis, MO