Dr Thomas Whitesell, is a medicare enrolled "Internal Medicine" physician in St Marys, Georgia. He went to Mercer University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cooperative Healthcare Services, Inc. and his current practice location is
2060 Dan Proctor Dr., Suite 2100, St Marys, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 882-6767.
Dr Thomas Whitesell is licensed to practice in Georgia (license number 052854) 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 1245231984.
Physician's Profile
| Full Name | Dr Thomas Whitesell |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 24 Years |
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| Location | 2060 Dan Proctor Dr., St Marys, Georgia |
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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 Thomas Whitesell attended and graduated from Mercer University School Of Medicine in 2000
NPI Data:
- NPI Number: 1245231984
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 11/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981625217
- Enrollment ID: I20051214000099
Medical Identifiers
Medical identifiers for Dr Thomas Whitesell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245231984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 052854 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cooperative Healthcare Services, Inc. | 9830093640 | 175 |
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 Thomas Whitesell allows following entities to bill medicare on his behalf.
| Entity Name | Cooperative Healthcare Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417979402
PECOS PAC ID: 9830093640
Enrollment ID: O20031124000222 |
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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 Thomas Whitesell 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 Thomas Whitesell,
2060 Dan Proctor Dr., Suite 2100,
St Marys, GA 31558
Ph: (912) 882-6767 | Dr Thomas Whitesell,
2060 Dan Proctor Dr., Suite 2100,
St Marys, GA 31558
Ph: (912) 882-6767 |
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