Michael Marshall Whited, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Los Angeles, California. His current practice location is
954 N Vermont Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(562) 867-7999.
Michael Marshall Whited is licensed to practice in California (license number 95005776) 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 1215253224.
Healthcare Provider's Profile
Full Name | Michael Marshall Whited |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 954 N Vermont Ave, Los Angeles, 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: 1215253224
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345594867
- Enrollment ID: I20181119001803
Medical Identifiers
Medical identifiers for Michael Marshall Whited such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215253224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | 757022-1 (New York) | Secondary |
163W00000X | Registered Nurse | 95040852 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95005776 (California) | Primary |
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. Michael Marshall Whited 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 |
Michael Marshall Whited, 5650 Jillson St, Commerce, CA 90040-1482 Ph: (562) 867-7999 | Michael Marshall Whited, 954 N Vermont Ave, Los Angeles, CA 90029-3529 Ph: (562) 867-7999 |
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