Dr Alexander Perry Willett, PSYD in Bloomington, IL - Medicare Clinical Psychologist Provider

Dr Alexander Perry Willett, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bloomington, Illinois. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Edgewood Clinical Services P.c. and his current practice location is 808 S Eldorado Rd Ste 102, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 706-3190.

Dr Alexander Perry Willett is licensed to practice in Illinois (license number 071009688) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710493770.

Contact Information

	Dr Alexander Perry Willett, PSYD
	808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075
	(309) 706-3190
	(309) 588-4115

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alexander Perry Willett
Gender	Male
Speciality	Clinical Psychologist
Experience	10 Years
Location	808 S Eldorado Rd Ste 102, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Alexander Perry Willett graduated from medical school in 2016

NPI Data:

NPI Number: 1710493770
Provider Enumeration Date: 12/28/2017
Last Update Date: 06/09/2026

Medicare PECOS Information:

PECOS PAC ID: 2062771041
Enrollment ID: I20180119001905

Medical Identifiers

Medical identifiers for Dr Alexander Perry Willett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710493770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071009688 (Illinois)	Primary
103G00000X	Clinical Neuropsychologist	071009688 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edgewood Clinical Services P.c.	3971963901	282

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 Alexander Perry Willett allows following entities to bill medicare on his behalf.

Entity Name	Psychology Specialists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053368605 PECOS PAC ID: 9739152380 Enrollment ID: O20050112000476

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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 Alexander Perry Willett 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 Alexander Perry Willett, PSYD 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 Ph: (309) 706-3190	Dr Alexander Perry Willett, PSYD 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 Ph: (309) 706-3190

Reviews and Comments

Psychologist in Bloomington, IL

Cheri L. Miller, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 303 N Hershey Rd Ste D1, Bloomington, IL 61704 Phone: 309-268-3529 Fax: 309-268-2323
Dr. Amber Suzanne Hays, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2103 E Washington St Ste 3b, Bloomington, IL 61701 Phone: 309-304-3047 Fax: 309-832-0639
Dr. Michael C. Baum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-820-3500
Mr. Scott M Hogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 E Hamilton Rd, Bloomington, IL 61704 Phone: 309-828-5231
Dr. Trisha Dyan Mann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 103 N Regency Dr, Bloomington, IL 61701 Phone: 309-661-8046 Fax: 309-661-8093
Dr. Paul Flores, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 308, Bloomington, IL 61701 Phone: 309-204-6766
Dr. Raymond Michael Bergner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821

Dr Alexander Perry Willett, PSYD - Medicare Psychologist in Bloomington, IL