Dr John W Whiteside Ii, MD in Philadelphia, PA

Dr John W Whiteside Ii, MD is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 833 Chestnut St Ste 301, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 955-7190.

Dr John W Whiteside Ii is licensed to practice in Pennsylvania (license number MD466263) 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 1679556427.

Contact Information

	Dr John W Whiteside Ii, MD
	833 Chestnut St Ste 301, Philadelphia, PA 19107-4405
	(215) 955-7190
	(215) 955-8600

Map and Direction

Physician's Profile

Full Name	Dr John W Whiteside Ii
Gender	Male
Speciality	Family Medicine
Location	833 Chestnut St Ste 301, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679556427
Provider Enumeration Date: 11/25/2005
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 8729138250
Enrollment ID: I20090604000136

Medical Identifiers

Medical identifiers for Dr John W Whiteside Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679556427	NPI	-	NPPES
840425720-308	Other	CO	HMO#
47008849	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	47640 (Colorado)	Secondary
207Q00000X	Family Medicine	MD466263 (Pennsylvania)	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 John W Whiteside Ii allows following entities to bill medicare on his behalf.

Entity Name	Marillac Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518239219 PECOS PAC ID: 1052634748 Enrollment ID: O20150105001387

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 John W Whiteside Ii 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 John W Whiteside Ii, MD 2333 N 6th St, Grand Junction, CO 81501-2001 Ph: (970) 298-1782	Dr John W Whiteside Ii, MD 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 Ph: (215) 955-7190

Reviews and Comments

Family Medicine Doctors in Philadelphia, PA

Srikar Vegesna, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 Cottman Ave, Philadelphia, PA 19149 Phone: 215-342-3020 Fax: 215-342-3653
Chelsea Tiffany Salas-tam, Family Medicine Medicare: Medicare Enrolled Practice Location: 861 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-302-3600
Kunal Anandpara, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11000 Roosevelt Blvd, Philadelphia, PA 19116 Phone: 215-677-1475 Fax: 215-677-3082
Joshua George, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-324-0600 Fax: 215-324-2795
Meng-chao Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Central Ave Ste 104, Philadelphia, PA 19111 Phone: 215-742-0712 Fax: 215-742-5218
Carol Bowes-lawlor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830
Dr. Seung Hee Hong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 150, Philadelphia, PA 19134 Phone: 215-926-3535 Fax: 215-926-3536

Dr John W Whiteside Ii, MD - Medicare Family Medicine in Philadelphia, PA