Duane C Whitaker, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Bainbridge Island, Washington. He went to University Of Arizona College Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Banner -- University Medical Group, Adventist Health Physicians Network and his current practice location is
271 Wyatt Way Ne Ste 108, Bainbridge Island, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 317-6911.
Duane C Whitaker is licensed to practice in Washington (license number MD0046124) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1609847821.
Physician's Profile
| Full Name | Duane C Whitaker |
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| Gender | Male |
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| Speciality | Micrographic Dermatologic Surgery (mds) |
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| Experience | 45 Years |
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| Location | 271 Wyatt Way Ne Ste 108, Bainbridge Island, Washington |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Duane C Whitaker attended and graduated from University Of Arizona College Of Medicine in 1979
NPI Data:
- NPI Number: 1609847821
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 09/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890715544
- Enrollment ID: I20051128000343
Medical Identifiers
Medical identifiers for Duane C Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609847821 | NPI | - | NPPES |
| 976798 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD0046124 (Washington) | Secondary |
| 207N00000X | Dermatology | 12532 (Arizona) | Secondary |
| 207N00000X | Dermatology | 45899 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 12532 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 45899 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD0046124 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Banner -- University Medical Group | 7719899871 | 817 |
| Adventist Health Physicians Network | 3274580972 | 544 |
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. Duane C Whitaker allows following entities to bill medicare on his behalf.
| Entity Name | Banner -- University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694 |
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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. Duane C Whitaker 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 |
|---|
Duane C Whitaker, MD
271 Wyatt Way Ne Ste 108,
Bainbridge Island, WA 98110-2873
Ph: (206) 317-6911 | Duane C Whitaker, MD
271 Wyatt Way Ne Ste 108,
Bainbridge Island, WA 98110-2873
Ph: (206) 317-6911 |
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