Dr David Michael Van Pelt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sikeston, Missouri. His current practice location is
903 S Kingshighway St, Sikeston, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 472-2139.
Dr David Michael Van Pelt is licensed to practice in Missouri (license number MO2005015544) 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 1821066242.
Healthcare Provider's Profile
| Full Name | Dr David Michael Van Pelt |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 903 S Kingshighway St, Sikeston, Missouri |
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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: 1821066242
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 02/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 0749296283
- Enrollment ID: I20060223000075
Medical Identifiers
Medical identifiers for Dr David Michael Van Pelt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821066242 | NPI | - | NPPES |
| SDA3992113 | Other | MO | CHILD TREATMENT SERVICES |
| 499322014 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | MO2005015544 (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 David Michael Van Pelt allows following entities to bill medicare on his behalf.
| Entity Name | Applied Psychological Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003018417
PECOS PAC ID: 2961418496
Enrollment ID: O20060221000721 |
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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. Dr David Michael Van Pelt 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 David Michael Van Pelt, PSYD
903 S Kingshighway St,
Sikeston, MO 63801-4415
Ph: (573) 472-2139 | Dr David Michael Van Pelt, PSYD
903 S Kingshighway St,
Sikeston, MO 63801-4415
Ph: (573) 472-2139 |
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