Marcus Craig Whaley, MD - Medicare Pediatrics in New Bern, NC

Marcus Craig Whaley, MD is a medicare enrolled "Pediatrics" physician in New Bern, North Carolina. His current practice location is 2636 Dr Martin Luther King Jr Blvd, New Bern, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 636-1919.

Marcus Craig Whaley is licensed to practice in North Carolina (license number 200300105) 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 1124011523.

Contact Information

Marcus Craig Whaley, MD
2636 Dr Martin Luther King Jr Blvd,
New Bern, NC 28562-4238
(252) 636-1919
(252) 636-2656

Map and Direction




Physician's Profile

Full NameMarcus Craig Whaley
GenderMale
SpecialityPediatrics
Location2636 Dr Martin Luther King Jr Blvd, New Bern, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124011523
  • Provider Enumeration Date: 08/31/2005
  • Last Update Date: 07/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385627991
  • Enrollment ID: I20040612000210

Medical Identifiers

Medical identifiers for Marcus Craig Whaley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124011523NPI-NPPES
136MFOtherNCBLUE CROSS
89136MFMedicaidNC
2018380COtherNCMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 200300105 (North Carolina)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. Marcus Craig Whaley allows following entities to bill medicare on his behalf.
Entity NameCarolinaeast Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104066794
PECOS PAC ID: 0143378117
Enrollment ID: O20090430000303

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. Marcus Craig Whaley 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 AddressPractice Location Address
Marcus Craig Whaley, MD
Po Box 896206,
Charlotte, NC 28289-6206

Ph: (252) 636-1919
Marcus Craig Whaley, MD
2636 Dr Martin Luther King Jr Blvd,
New Bern, NC 28562-4238

Ph: (252) 636-1919

Reviews and Comments


Pediatrics Doctors in New Bern, NC

Leeann B Skladan, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 703 Newman Rd, New Bern, NC 28562
Phone: 252-633-2900    Fax: 252-633-9609
Steven Mark Engel, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Neuse Blvd, New Bern, NC 28560
Phone: 252-637-3799    Fax: 252-633-0944
Kristi D Gordin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562
Phone: 252-636-1919    Fax: 252-636-2656
Dr. Rebecca C. H. Riley, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562
Phone: 252-636-1919    Fax: 252-636-2656
David Thomas Tayloe Iii, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 703 Newman Rd, Coastal Children's Clinic, New Bern, NC 28562
Phone: 252-633-2900    
Dr. Michael Stanley Sullivan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562
Phone: 252-636-1919    Fax: 252-636-2656

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.