Dr Mack Arthur Whitehead, DO in Provo, UT - Medicare Psychiatry & Neurology

Dr Mack Arthur Whitehead, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Provo, Utah. His current practice location is 1300 E Center St, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 344-4400.

Dr Mack Arthur Whitehead is licensed to practice in Utah (license number 12611528-1204) 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 1578067906.

Contact Information

	Dr Mack Arthur Whitehead, DO
	1300 E Center St, Provo, UT 84606-3554
	(801) 344-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mack Arthur Whitehead
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1300 E Center St, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578067906
Provider Enumeration Date: 03/21/2018
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 2567710593
Enrollment ID: I20180807002349

Medical Identifiers

Medical identifiers for Dr Mack Arthur Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578067906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	12611528-1204 (Utah)	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 Mack Arthur Whitehead allows following entities to bill medicare on his behalf.

Entity Name	Peak Vista Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337

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 Mack Arthur Whitehead 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 Mack Arthur Whitehead, DO Po Box 270, Provo, UT 84603-0270 Ph: (801) 344-4400	Dr Mack Arthur Whitehead, DO 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400

Reviews and Comments

Psychiatry & Neurology Doctors in Provo, UT

Edward Leslie Kelly, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4225
Brent L Griffin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Aaron William Sanders, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 601, Provo, UT 84604 Phone: 801-357-7525
Sam J Coates, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Dr. Rodney A Cheal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Ms. Madhumathy Gundlapalli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Marianela Rosales Gerpe, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4215

Dr Mack Arthur Whitehead, DO - Medicare Psychiatry & Neurology in Provo, UT