Lyman William Whitlatch Jr, MD, PHD is a medicare enrolled "Neurological Surgery" physician in Visalia, California. He went to Boston University School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Enloe Medical Center and his current practice location is
202 W Willow Ave, Suite 305, Visalia, California. You can reach out to his office (for appointments etc.) via phone at
(559) 320-0530.
Lyman William Whitlatch Jr is licensed to practice in California (license number A108303) 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 1053585711.
Physician's Profile
| Full Name | Lyman William Whitlatch Jr |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 22 Years |
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| Location | 202 W Willow Ave, Visalia, California |
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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:
- Lyman William Whitlatch Jr attended and graduated from Boston University School Of Medicine in 2003
NPI Data:
- NPI Number: 1053585711
- Provider Enumeration Date: 04/14/2008
- Last Update Date: 02/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 0840343059
- Enrollment ID: I20090806000091
Medical Identifiers
Medical identifiers for Lyman William Whitlatch Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053585711 | NPI | - | NPPES |
| 1841218583 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | A108303 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Enloe Medical Center | 9739092388 | 295 |
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. Lyman William Whitlatch Jr allows following entities to bill medicare on his behalf.
| Entity Name | Enloe Medical Center |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1336580422
PECOS PAC ID: 9739092388
Enrollment ID: O20130731000581 |
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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. Lyman William Whitlatch Jr 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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Lyman William Whitlatch Jr, MD, PHD
2625 E Divisadero St,
Fresno, CA 93721-1431
Ph: (559) 443-2682 | Lyman William Whitlatch Jr, MD, PHD
202 W Willow Ave, Suite 305,
Visalia, CA 93291-6238
Ph: (559) 320-0530 |
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