Dr Derek Casper Whitaker, MD | |
1120 15th St, Augusta, GA 30912-5741 | |
(706) 721-8623 | |
Not Available |
Full Name | Dr Derek Casper Whitaker |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 26 Years |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194791707 | NPI | - | NPPES |
67468 | Other | GA | GEORGIA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 67468 (Georgia) | Primary |
207X00000X | Orthopaedic Surgery | 0101102607 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Inc | 9931013513 | 585 |
Entity Name | Au Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Casper Whitaker, MD 1120 15th St Ste Bi-1056, Augusta, GA 30912-0004 Ph: (706) 721-8623 | Dr Derek Casper Whitaker, MD 1120 15th St, Augusta, GA 30912-5741 Ph: (706) 721-8623 |
Shahram Bozorgnia, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Ba 3300, Augusta, GA 30912 Phone: 706-721-4666 | |
Dr. Robert L Brand Iii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3650 J Dewey Gray Cr, Augusta, GA 30909 Phone: 706-863-9797 Fax: 706-860-7686 | |
Dr. Gregory Douglas Kalv, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1499 Walton Way, Suite 1400, Augusta, GA 30901 Phone: 706-721-1633 | |
Thomas Alan Parfenchuck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 811 13th St, Ste 20, Augusta, GA 30901 Phone: 706-722-3401 Fax: 706-724-6540 | |
Jonathon Whitehead, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-0211 | |
Daniel Thomas Childes, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St # Ba8412, Augusta, GA 30912 Phone: 706-721-8623 | |
Kevin J Oshea, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 811 13th St, Ste 20, Augusta, GA 30901 Phone: 706-722-3401 Fax: 706-724-6540 |