Dr Devon E Whitehead, PHD - Medicare Psychologist in Coon Rapids, MN

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Dr Devon E Whitehead, PHD is a medicare enrolled "Psychologist" provider in Coon Rapids, Minnesota. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice North Psychology Clinic Pa and her current practice location is 299 Coon Rapids Blvd Ne, Suite 100, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 240-2206.

Dr Devon E Whitehead is licensed to practice in Minnesota (license number 5603) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003037458.

Contact Information

Dr Devon E Whitehead, PHD
299 Coon Rapids Blvd Ne, Suite 100,
Coon Rapids, MN 55344
(651) 240-2206
(612) 446-5766

Map and Direction




Healthcare Provider's Profile

Full NameDr Devon E Whitehead
GenderFemale
SpecialityClinical Psychologist
Experience15 Years
Location299 Coon Rapids Blvd Ne, Coon Rapids, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Devon E Whitehead graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1003037458
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 04/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335387216
  • Enrollment ID: I20130606000524

Medical Identifiers

Medical identifiers for Dr Devon E Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003037458NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 5603 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Psychology Clinic Pa38705456685

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 Devon E Whitehead allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameFairview Bethesda Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameNorth Psychology Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265462212
PECOS PAC ID: 3870545668
Enrollment ID: O20050221000501

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 Devon E 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 AddressPractice Location Address
Dr Devon E Whitehead, PHD
11165 Zealand Ave N,
Champlin, MN 55316-3595

Ph: (763) 531-0566		Dr Devon E Whitehead, PHD
299 Coon Rapids Blvd Ne, Suite 100,
Coon Rapids, MN 55344

Ph: (651) 240-2206

Reviews and Comments


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