Dr Desdemona Whitley, DC in San Diego, CA - Medicare Chiropractor Provider

Dr Desdemona Whitley, DC is a medicare enrolled "Chiropractor" provider in San Diego, California. Her current practice location is 4060 Fairmont Ave., San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 889-8834.

Dr Desdemona Whitley is licensed to practice in California (license number 28762) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598533911.

Contact Information

	Dr Desdemona Whitley, DC
	4060 Fairmont Ave., San Diego, CA 92105
	(619) 889-8834
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Desdemona Whitley
Gender	Female
Speciality	Chiropractor
Location	4060 Fairmont Ave., San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598533911
Provider Enumeration Date: 12/14/2023
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2466345574
Enrollment ID: I20040203000985

Medical Identifiers

Medical identifiers for Dr Desdemona Whitley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598533911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	28762 (California)	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. Dr Desdemona Whitley allows following entities to bill medicare on her behalf.

Provider Name	La Maestra Family Clinic, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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 Desdemona Whitley 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 Desdemona Whitley, DC 1304 San Bernardino Ave, Spring Valley, CA 91977-4632 Ph: (619) 889-8834	Dr Desdemona Whitley, DC 4060 Fairmont Ave., San Diego, CA 92105 Ph: (619) 889-8834

Reviews and Comments

Chiropractor in San Diego, CA

Dr. Dayna Joelle Blum, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6030 Santo Rd, Suite D, San Diego, CA 92124 Phone: 858-541-0505 Fax: 858-541-0527
Keith M. Hourihan Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6755 Mira Mesa Blvd, Suite 140, San Diego, CA 92121 Phone: 858-558-0057
Dr. Ian Philipe Ahearn, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3065 Rosecrans Pl Ste 108, San Diego, CA 92110 Phone: 619-640-0321 Fax: 619-435-3158
Dr. Ahmad Naweed Kazem, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4080 Centre St, Ste 202, San Diego, CA 92103 Phone: 858-342-7595
Mr. Fred George Seyfried, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10505 Sorrento Valley Road, Suite 225, San Diego, CA 92121 Phone: 619-345-3111
Dr. William Brett Mason Jr., Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6612 Mission Gorge Rd Ste B, San Diego, CA 92120 Phone: 619-282-8181
Sam Martin Lerner, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2333 1st Ave, Suite 105, San Diego, CA 92101 Phone: 619-235-8000 Fax: 619-338-8178

Dr Desdemona Whitley, DC - Medicare Chiropractor in San Diego, CA