Derric A Whiteside, DO in Nellis Afb, NV - Medicare Internal Medicine

Derric A Whiteside, DO is a medicare enrolled "Internal Medicine" physician in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-3128.

Derric A Whiteside is licensed to practice in Virginia (license number 0102203353) 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 1083877518.

Contact Information

	Derric A Whiteside, DO
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 653-3128
	Not Available

Map and Direction

Physician's Profile

Full Name	Derric A Whiteside
Gender	Male
Speciality	Internal Medicine
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083877518
Provider Enumeration Date: 07/03/2008
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7012152135
Enrollment ID: I20211026000840

Medical Identifiers

Medical identifiers for Derric A Whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083877518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	02003810A (Indiana)	Secondary
207R00000X	Internal Medicine	0102203353 (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. Derric A Whiteside allows following entities to bill medicare on his behalf.

Entity Name	Healogics Specialty Physicians Of Nevada-johnson Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114333853 PECOS PAC ID: 0345462768 Enrollment ID: O20141119000312

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. Derric A Whiteside 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
Derric A Whiteside, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3128	Derric A Whiteside, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3128

Reviews and Comments

Internal Medicine Doctors in Nellis Afb, NV

Dr. Aaron Joseph Wolbrueck, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Shubhang N Mazumdar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3800
Dr. Seth Joseph Vanderveer, DO, RHMSUS, CSCS Internal Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Aaron David Lewis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Jeremy P Kilburn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3257
Dr. Robert Brown Woolley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273

Derric A Whiteside, DO - Medicare Internal Medicine in Nellis Afb, NV