Dr Karl Alan Whitlock, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Powder Springs, Georgia. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Vista Medical Services Inc and his current practice location is
3849 Oakview Dr, Powder Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 403-6352.
Dr Karl Alan Whitlock is licensed to practice in Georgia (license number 002229) 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 1417089095.
Healthcare Provider's Profile
| Full Name | Dr Karl Alan Whitlock |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 27 Years |
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| Location | 3849 Oakview Dr, Powder Springs, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Karl Alan Whitlock graduated from medical school in 1997
NPI Data:
- NPI Number: 1417089095
- Provider Enumeration Date: 03/10/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4981968088
- Enrollment ID: I20180425001512
Medical Identifiers
Medical identifiers for Dr Karl Alan Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417089095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 002229 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vista Medical Services Inc | 5597743344 | 35 |
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 Karl Alan Whitlock allows following entities to bill medicare on his behalf.
| Entity Name | Vista Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659452027
PECOS PAC ID: 5597743344
Enrollment ID: O20070222000262 |
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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 Karl Alan Whitlock 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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Dr Karl Alan Whitlock, PSYD
1464 Fenwick Dr Sw,
Marietta, GA 30064-2779
Ph: (770) 403-6352 | Dr Karl Alan Whitlock, PSYD
3849 Oakview Dr,
Powder Springs, GA 30127-2233
Ph: (770) 403-6352 |
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