Dr Alice G Vlietstra, PHD in Maryland Heights, MO - Medicare Clinical Psychologist Provider

Dr Alice G Vlietstra, PHD is a medicare enrolled "Psychologist - Health Service" provider in Maryland Heights, Missouri. She graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 12131 Dorsett Rd, Suite 220, Maryland Heights, 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
	12131 Dorsett Rd, Suite 220, Maryland Heights, MO 63043-2418
	(314) 729-2855
	(314) 298-9274

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alice G Vlietstra
Gender	Female
Speciality	Clinical Psychologist
Experience	51 Years
Location	12131 Dorsett Rd, Maryland Heights, 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: 08/25/2010

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 12131 Dorsett Rd, Suite 220, Maryland Heights, MO 63043-2418 Ph: (314) 729-2855

Reviews and Comments

Psychologist in Maryland Heights, MO

Hal I Pendergrass, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12131 Dorsett Rd, Suite 220, Maryland Heights, MO 63043 Phone: 314-298-0900 Fax: 314-298-9274
Dr. Claire Karlen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11365 Dorsett Rd, Maryland Heights, MO 63043 Phone: 314-684-1816
Rachael Lisa Juehring, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11365 Dorsett Rd., Maryland Heights, MO 63043 Phone: 314-872-6400 Fax: 314-454-4013

Dr Alice G Vlietstra, PHD - Medicare Psychologist in Maryland Heights, MO