Dr Edward W Whitesides, MD in Wilmington, NC

Dr Edward W Whitesides, MD is a medicare enrolled "Specialist" physician in Wilmington, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Urology. He is a member of the group practice Medical Practices Of Antietam, Llc and his current practice location is 1905 Glen Meade Rd, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 763-6251.

Dr Edward W Whitesides is licensed to practice in North Carolina (license number 36671) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033104344.

Contact Information

	Dr Edward W Whitesides, MD
	1905 Glen Meade Rd, Wilmington, NC 28403-6024
	(910) 763-6251
	(910) 763-7408

Map and Direction

Physician's Profile

Full Name	Dr Edward W Whitesides
Gender	Male
Speciality	Urology
Experience	36 Years
Location	1905 Glen Meade Rd, Wilmington, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edward W Whitesides attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1988

NPI Data:

NPI Number: 1033104344
Provider Enumeration Date: 09/13/2005
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0143116939
Enrollment ID: I20231208000260

Medical Identifiers

Medical identifiers for Dr Edward W Whitesides such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033104344	NPI	-	NPPES
79-87180	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	D98830 (Maryland)	Secondary
174400000X	Specialist	36671 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meritus Medical Center	Hagerstown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Practices Of Antietam, Llc	2567353865	183

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 Edward W Whitesides allows following entities to bill medicare on his behalf.

Entity Name	Medical Practices Of Antietam, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019

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 Edward W Whitesides 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
Dr Edward W Whitesides, MD 1905 Glen Meade Rd, Wilmington, NC 28403-6024 Ph: (910) 763-6251	Dr Edward W Whitesides, MD 1905 Glen Meade Rd, Wilmington, NC 28403-6024 Ph: (910) 763-6251

Dr Edward W Whitesides, MD - Medicare Urology in Wilmington, NC