Dr Alice G Vlietstra, PHD in Saint Louis, MO - Medicare Clinical Psychologist Provider

Dr Alice G Vlietstra, PHD is a medicare enrolled "Psychologist - Health Service" provider in Saint Louis, Missouri. She graduated from medical school in 1973 and has 53 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 745 Craig Rd Ste 102c, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 729-2855.

Dr Alice G Vlietstra is licensed to practice in Missouri (license number 01089) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841324753.

Contact Information

	Dr Alice G Vlietstra, PHD
	745 Craig Rd Ste 102c, Saint Louis, MO 63141-7122
	(314) 729-2855
	(314) 529-3534

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alice G Vlietstra
Gender	Female
Speciality	Clinical Psychologist
Experience	53 Years
Location	745 Craig Rd Ste 102c, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Alice G Vlietstra graduated from medical school in 1973

NPI Data:

NPI Number: 1841324753
Provider Enumeration Date: 03/15/2007
Last Update Date: 10/27/2025

Medicare PECOS Information:

PECOS PAC ID: 9537328059
Enrollment ID: I20120301000855

Medical Identifiers

Medical identifiers for Dr Alice G Vlietstra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841324753	NPI	-	NPPES
1601	Other	MO	BLUE CROSS BLUE SHIELD
075243	Other	MO	VALUE OPTIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	01089 (Missouri)	Primary
106H00000X	Marriage & Family Therapist	300075 (Missouri)	Secondary

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 Alice G Vlietstra allows following entities to bill medicare on her behalf.

Entity Name	Positive Family Dynamics Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568732550 PECOS PAC ID: 1456510973 Enrollment ID: O20120301000843

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 Alice G Vlietstra 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 Alice G Vlietstra, PHD 3042 Andover Dr, Saint Louis, MO 63121-4606 Ph: (314) 882-5537	Dr Alice G Vlietstra, PHD 745 Craig Rd Ste 102c, Saint Louis, MO 63141-7122 Ph: (314) 729-2855

Reviews and Comments

Psychologist in Saint Louis, MO

Karen Andre Johnston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100
Dr. Sarah Margaret Hanly, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-577-5667 Fax: 314-268-2784
Yoshiko Hall, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 Phone: 630-456-1369
Dr. Lizette Janine Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4316 Lindell Blvd, Saint Louis, MO 63108 Phone: 314-533-2229 Fax: 314-533-7496
Jerry Dunn, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, Saint Louis, MO 63121 Phone: 314-516-7342 Fax: 314-516-6624
Dr. Daniel Jeremy Williger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10820 Sunset Office Dr 210, Saint Louis, MO 63127 Phone: 314-712-0365 Fax: 314-549-8807
Dr. Robert Edward Schlitt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9116 Big Bend Blvd, Saint Louis, MO 63119 Phone: 314-961-5511 Fax: 314-961-5511

Dr Alice G Vlietstra, PHD - Medicare Psychologist in Saint Louis, MO