Phillip Whitely, CDCA, PRS is a
Peer Specialist based in Portsmouth, Ohio. Phillip Whitely is licensed to practice in Ohio (license number 0001602) and his current practice location is
411 2nd St, Portsmouth, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 354-7545.
NPI number for Phillip Whitely is 1316414089 and his current mailing address is 433 3rd St, Portsmouth, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316414089.
Healthcare Provider's Profile
Full Name | Phillip Whitely |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 411 2nd St, Portsmouth, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316414089
- Provider Enumeration Date: 10/31/2018
- Last Update Date: 02/03/2021
Medical Identifiers
Medical identifiers for Phillip Whitely such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316414089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | 0001602 (Ohio) | 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. Phillip Whitely is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Phillip Whitely, CDCA, PRS 433 3rd St, Portsmouth, OH 45662-3811 Ph: (740) 716-8746 | Phillip Whitely, CDCA, PRS 411 2nd St, Portsmouth, OH 45662-3806 Ph: (740) 354-7545 |
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