Joel R Whitaker, DDS is a medicare enrolled "Dentist - General Practice" provider in Lookout, West Virginia. His current practice location is
75 Spy Rock Loop Road, Lookout, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 574-2076.
Joel R Whitaker is licensed to practice in West Virginia (license number 2353) 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 1568425874.
Healthcare Provider's Profile
| Full Name | Joel R Whitaker |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 75 Spy Rock Loop Road, Lookout, West Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1568425874
- Provider Enumeration Date: 04/08/2006
- Last Update Date: 10/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 0547540510
- Enrollment ID: I20161208001127
Medical Identifiers
Medical identifiers for Joel R Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568425874 | NPI | - | NPPES |
| 0357662 | Medicaid | OH | |
| 0136147000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 2353 (West Virginia) | 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. Joel R Whitaker allows following entities to bill medicare on his behalf.
| Entity Name | New River Health Association Inc |
|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
|---|
| Entity Identifiers | NPI Number: 1811983331
PECOS PAC ID: 2365348596
Enrollment ID: O20071009000136 |
|---|
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. Joel R Whitaker 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 |
|---|
Joel R Whitaker, DDS
Po Box 337,
Scarbro, WV 25917-0337
Ph: (304) 469-2905 | Joel R Whitaker, DDS
75 Spy Rock Loop Road,
Lookout, WV 25868
Ph: (304) 574-2076 |
Reviews and Comments