Dr Matthew Scott Whitacre, MD is a medicare enrolled "Family Medicine" physician in Neah Bay, Washington. His current practice location is
250 Fort St, Neah Bay, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 645-2233.
Dr Matthew Scott Whitacre is licensed to practice in Washington (license number MD60106651) 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 1730356858.
Physician's Profile
| Full Name | Dr Matthew Scott Whitacre |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 250 Fort St, Neah Bay, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730356858
- Provider Enumeration Date: 05/08/2008
- Last Update Date: 06/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 8123215241
- Enrollment ID: I20160614001513
Medical Identifiers
Medical identifiers for Dr Matthew Scott Whitacre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730356858 | NPI | - | NPPES |
| MD60106651 | Other | WA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD60106651 (Washington) | Primary |
| 208D00000X | General Practice | MD60106651 (Washington) | Secondary |
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 Matthew Scott Whitacre allows following entities to bill medicare on his behalf.
| Entity Name | Lower Elwha Klallam Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821114026
PECOS PAC ID: 0446240964
Enrollment ID: O20040517000588 |
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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 Matthew Scott Whitacre 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 Matthew Scott Whitacre, MD
243511 W Highway 101, 250 Fort St,
Port Angeles, WA 98363-9472
Ph: (360) 452-6252 | Dr Matthew Scott Whitacre, MD
250 Fort St,
Neah Bay, WA 98357-0410
Ph: (360) 645-2233 |
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