| Willard Whitehead Iii, MD | |
|
415 Mulberry St, Evansville, IN 47713-1230 | |
| (812) 423-7791 | |
| (812) 422-7558 |
| Full Name | Willard Whitehead Iii |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 44 Years |
| Location | 415 Mulberry St, Evansville, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386657336 | NPI | - | NPPES |
| 260031376 | Other | IN | RAILROAD MEDICARE |
| 834950LLL | Other | IN | MEDICARE |
| 01040185B | Other | IN | CSR |
| 100366260 | Medicaid | IN | |
| 000000082157 | Other | IN | ANTHEM |
| 10787143 | Other | IN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01040185A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Hospital | 9436061918 | 12 |
| Entity Name | Good Samaritan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639176373 PECOS PAC ID: 9436061918 Enrollment ID: O20031204000723 |
| Entity Name | Good Samaritan Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174031256 PECOS PAC ID: 5294099321 Enrollment ID: O20190219002426 |
| Mailing Address | Practice Location Address |
|---|---|
| Willard Whitehead Iii, MD 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 423-7791 | Willard Whitehead Iii, MD 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 423-7791 |
Mr. David Michael Holajter, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 Mulberry St, Evansville, IN 47713 Phone: 812-423-7791 Fax: 812-436-4316 | |
James M Boling, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514 | |
Henry B Kaplan, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694 | |
Mrs. Carla Maria Brandt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1312 Professional Blvd Ste 201, Evansville, IN 47714 Phone: 812-476-7523 | |
Bhargav A Trivedi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-7338 Fax: 812-450-2193 | |
Dr. Roderick Lance Warren, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Saint Marys Dr, Ste 303, Evansville, IN 47714 Phone: 812-477-1560 Fax: 812-477-1595 | |
Deirdre Balliett Lloyd, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6211 Waterford Blvd, Evansville, IN 47715 Phone: 812-465-6202 |