Thomas Scott Halstead, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Grand Rapids, Michigan. His current practice location is
300 68th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 455-5000.
Thomas Scott Halstead is licensed to practice in Michigan (license number 6301011275) 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 1992733653.
Healthcare Provider's Profile
Full Name | Thomas Scott Halstead |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 300 68th St Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992733653
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426245812
- Enrollment ID: I20101210000790
Medical Identifiers
Medical identifiers for Thomas Scott Halstead such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992733653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301012275 (Michigan) | Primary |
103G00000X | Clinical Neuropsychologist | 6301011275 (Michigan) | 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. Thomas Scott Halstead allows following entities to bill medicare on his behalf.
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
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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. Thomas Scott Halstead 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 |
Thomas Scott Halstead, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Thomas Scott Halstead, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 |
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