Courtney Whittle, MD MSW is a medicare enrolled "Pediatrics" provider in Gardena, California. Her current practice location is
15446 S Western Ave, Gardena, California. You can reach out to her office (for appointments etc.) via phone at
(310) 217-5375.
Courtney Whittle is licensed to practice in California (license number A129878) 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 1386844637.
Healthcare Provider's Profile
Full Name | Courtney Whittle |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 15446 S Western Ave, Gardena, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386844637
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 03/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709183635
- Enrollment ID: I20170812000398
Medical Identifiers
Medical identifiers for Courtney Whittle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386844637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
208000000X | Pediatrics | A129878 (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. Courtney Whittle allows following entities to bill medicare on her behalf.
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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Entity Name | Weight A Minute Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487369187 PECOS PAC ID: 4183060627 Enrollment ID: O20240307000466 |
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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. Courtney Whittle 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 |
Courtney Whittle, MD MSW 15446 S Western Ave, Gardena, CA 90249-4319 Ph: (310) 217-5375 | Courtney Whittle, MD MSW 15446 S Western Ave, Gardena, CA 90249-4319 Ph: (310) 217-5375 |
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