Paul Dave Whittaker, PHD in Auburn, AL - Medicare Psychologist Provider

Paul Dave Whittaker, PHD is a medicare enrolled "Psychologist - Clinical" provider in Auburn, Alabama. His current practice location is 4315 Golf Club Dr Apt 8213, Auburn, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 317-9274.

Paul Dave Whittaker is licensed to practice in Texas (license number 32398) 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 1831107143.

Contact Information

	Paul Dave Whittaker, PHD
	4315 Golf Club Dr Apt 8213, Auburn, AL 36830-6081
	(205) 317-9274
	(806) 367-5530

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Dave Whittaker
Gender	Male
Speciality	Psychologist - Clinical
Location	4315 Golf Club Dr Apt 8213, Auburn, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831107143
Provider Enumeration Date: 08/03/2006
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1456330109
Enrollment ID: I20040715001306

Medical Identifiers

Medical identifiers for Paul Dave Whittaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831107143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32398 (Texas)	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. Paul Dave Whittaker allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541

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. Paul Dave Whittaker 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
Paul Dave Whittaker, PHD 4315 Golf Club Dr Apt 8213, Auburn, AL 36830-6081 Ph: (205) 317-9274	Paul Dave Whittaker, PHD 4315 Golf Club Dr Apt 8213, Auburn, AL 36830-6081 Ph: (205) 317-9274

Reviews and Comments

Psychologist in Auburn, AL

Dr. Jennings B. Haynes, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2431 E Glenn Ave Ste 400, Auburn, AL 36830 Phone: 334-377-4900 Fax: 334-377-4901
Taylor Nocera Howard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 N Gay St Ste 120110, Auburn, AL 36830 Phone: 334-209-4755
Dr. Nicole Linen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. College St, Auburn, AL 36830 Phone: 334-219-0425
Dr. Thomas Howard Lawry, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 248 E Glenn Ave, Auburn, AL 36830 Phone: 334-821-3350 Fax: 334-821-3252
Dr. Peggy Howland, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 248 E Glenn Ave, Auburn, AL 36830 Phone: 334-821-3350 Fax: 334-821-3252
Dr. Page Walley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 248 E Glenn Ave, Auburn, AL 36830 Phone: 334-821-3350 Fax: 334-821-3252
Dr. Jennifer Gillis Mattson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1897 Quail Holw, Auburn, AL 36830 Phone: 607-760-2550

Paul Dave Whittaker, PHD - Medicare Psychologist in Auburn, AL