Dr Alan Thomas Von Kleiss, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in North Chesterfield, Virginia. His current practice location is
1215 Mall Dr, North Chesterfield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 594-3690.
Dr Alan Thomas Von Kleiss is licensed to practice in Virginia (license number 0810004544) 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 1790058899.
Healthcare Provider's Profile
| Full Name | Dr Alan Thomas Von Kleiss |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 1215 Mall Dr, North Chesterfield, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1790058899
- Provider Enumeration Date: 02/20/2012
- Last Update Date: 07/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991949414
- Enrollment ID: I20130923000437
Medical Identifiers
Medical identifiers for Dr Alan Thomas Von Kleiss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790058899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 0810004544 (Virginia) | Secondary |
| 103TF0200X | Psychologist - Forensic | 0810004544 (Virginia) | Secondary |
| 103TH0004X | Psychologist - Health | 0810004544 (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 0810004544 (Virginia) | 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 Alan Thomas Von Kleiss allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Behavioral Health Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780923292
PECOS PAC ID: 4082858501
Enrollment ID: O20130923000419 |
|---|
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 Alan Thomas Von Kleiss 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 Alan Thomas Von Kleiss, PSYD
1215 Mall Dr,
North Chesterfield, VA 23235-4737
Ph: (804) 594-3690 | Dr Alan Thomas Von Kleiss, PSYD
1215 Mall Dr,
North Chesterfield, VA 23235-4737
Ph: (804) 594-3690 |
Reviews and Comments