Dr Jeremy Douglas Whitt, MD is a medicare enrolled "Surgery" physician in West Memphis, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Forrest City Clinic Company Llc and his current practice location is
300 S Rhodes St, West Memphis, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 735-3664.
Dr Jeremy Douglas Whitt is licensed to practice in Arkansas (license number E-6475) 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 1982861985.
Physician's Profile
| Full Name | Dr Jeremy Douglas Whitt |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 19 Years |
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| Location | 300 S Rhodes St, West Memphis, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeremy Douglas Whitt attended and graduated from University Of Arkansas College Of Medicine in 2005
NPI Data:
- NPI Number: 1982861985
- Provider Enumeration Date: 05/19/2008
- Last Update Date: 04/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 8426181553
- Enrollment ID: I20100727000192
Medical Identifiers
Medical identifiers for Dr Jeremy Douglas Whitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982861985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | E-6475 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forrest City Clinic Company Llc | 1557457447 | 4 |
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 Jeremy Douglas Whitt allows following entities to bill medicare on his behalf.
| Entity Name | Forrest City Clinic Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821293051
PECOS PAC ID: 1557457447
Enrollment ID: O20071024000213 |
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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. Dr Jeremy Douglas Whitt 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 |
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Dr Jeremy Douglas Whitt, MD
300 S Rhodes St,
West Memphis, AR 72301-4215
Ph: (870) 735-3664 | Dr Jeremy Douglas Whitt, MD
300 S Rhodes St,
West Memphis, AR 72301-4215
Ph: (870) 735-3664 |
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