Jon Thomas Whitehead, is a medicare enrolled "Occupational Therapist" provider in St. Loius, Missouri. His current practice location is
4144 Lindell Blvd, Suite 310, St. Loius, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 531-8224.
Jon Thomas Whitehead is licensed to practice in Missouri (license number 001533) 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 1811096886.
Healthcare Provider's Profile
| Full Name | Jon Thomas Whitehead |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 4144 Lindell Blvd, St. Loius, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1811096886
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941291660
- Enrollment ID: I20131218001319
Medical Identifiers
Medical identifiers for Jon Thomas Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811096886 | NPI | - | NPPES |
| 5357960001 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 001533 (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. Jon Thomas Whitehead allows following entities to bill medicare on his behalf.
| Provider Name | Access One Healthcare Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1366012700
PECOS PAC ID: 6709306749
Enrollment ID: O20250221000286 |
|---|
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. Jon Thomas 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 |
|---|
Jon Thomas Whitehead,
4144 Lindell Blvd, Suite 310,
St. Loius, MO 63108
Ph: (314) 531-8224 | Jon Thomas Whitehead,
4144 Lindell Blvd, Suite 310,
St. Loius, MO 63108
Ph: (314) 531-8224 |
Reviews and Comments