Chandra Whitaker, DPT is a medicare enrolled "Physical Therapist" physician in Riverside, California. Her current practice location is
10800 Magnolia Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at
(833) 574-2273.
Chandra Whitaker is licensed to practice in California (license number PT297188) 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 1902284912.
Physician's Profile
| Full Name | Chandra Whitaker |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 10800 Magnolia Ave, Riverside, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902284912
- Provider Enumeration Date: 05/11/2015
- Last Update Date: 01/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527430917
- Enrollment ID: I20230213001126
Medical Identifiers
Medical identifiers for Chandra Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902284912 | NPI | - | NPPES |
| 10766 | Other | CA | PHYSICAL THERAPY ASSISTANT |
| PT297188 | Other | CA | PHYSICAL THERAPIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 10766 (California) | Secondary |
| 225100000X | Physical Therapist | PT297188 (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. Chandra Whitaker allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Chandra 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 |
|---|
Chandra Whitaker, DPT
22750 Shadowridge Ln,
Moreno Valley, CA 92557-2632
Ph: () - | Chandra Whitaker, DPT
10800 Magnolia Ave,
Riverside, CA 92505-3043
Ph: (833) 574-2273 |
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