Dr Lee Mclean Whitesides, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Eatonton, Georgia. His current practice location is
1097 Lake Oconee Pkwy Ste 101, Eatonton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 916-4764.
Dr Lee Mclean Whitesides is licensed to practice in Georgia (license number DNO11123) 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 1134123524.
Healthcare Provider's Profile
Full Name | Dr Lee Mclean Whitesides |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1097 Lake Oconee Pkwy Ste 101, Eatonton, Georgia |
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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: 1134123524
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274890421
- Enrollment ID: I20171127002206
Medical Identifiers
Medical identifiers for Dr Lee Mclean Whitesides such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134123524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN001123 (Georgia) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DNO11123 (Georgia) | 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. Dr Lee Mclean Whitesides 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 Lee Mclean Whitesides, DMD 1097 Lake Oconee Pkwy Ste 101, Eatonton, GA 31024-9510 Ph: (706) 916-4764 | Dr Lee Mclean Whitesides, DMD 1097 Lake Oconee Pkwy Ste 101, Eatonton, GA 31024-9510 Ph: (706) 916-4764 |
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