Dr Clyde Whiting, MD - Medicare Family Medicine in Chicago, IL

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Dr Clyde Whiting, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Chicago, Illinois. His current practice location is 1501 S California Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 257-6097.

Dr Clyde Whiting is licensed to practice in Illinois (license number 036129320) 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 1073883203.

Contact Information

Dr Clyde Whiting, MD
1501 S California Ave,
Chicago, IL 60608-1732
(773) 257-6097
Not Available

Map and Direction




Physician's Profile

Full NameDr Clyde Whiting
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location1501 S California Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073883203
  • Provider Enumeration Date: 01/04/2012
  • Last Update Date: 01/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4688824709
  • Enrollment ID: I20121026000391

Medical Identifiers

Medical identifiers for Dr Clyde Whiting such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073883203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 036129320 (Illinois)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. Dr Clyde Whiting allows following entities to bill medicare on his behalf.
Entity NameShemauger Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992957021
PECOS PAC ID: 5890859144
Enrollment ID: O20090130000471
Entity NameKennekuk Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659523777
PECOS PAC ID: 0244395739
Enrollment ID: O20090217000467
Entity NameMedexpress Urgent Care Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033574256
PECOS PAC ID: 2264739804
Enrollment ID: O20160328001239

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 Clyde Whiting 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 AddressPractice Location Address
Dr Clyde Whiting, MD
8336 S Hermitage Ave,
Chicago, IL 60620-4629

Ph: (312) 933-6075		Dr Clyde Whiting, MD
1501 S California Ave,
Chicago, IL 60608-1732

Ph: (773) 257-6097

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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