Renata Whitlock, PA-C is a medicare enrolled "Physician Assistant" physician in Phoenix, Arizona. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Denova Collaborative Health, Llc and her current practice location is
3330 N 2nd St Ste 601, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 230-7373.
Renata Whitlock is licensed to practice in Arizona (license number 6790) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912410309.
Physician's Profile
| Full Name | Renata Whitlock |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 3330 N 2nd St Ste 601, Phoenix, Arizona |
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| Accepts Medicare Assignments | Yes. She 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:
- Renata Whitlock graduated from medical school in 2017
NPI Data:
- NPI Number: 1912410309
- Provider Enumeration Date: 11/08/2017
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678839107
- Enrollment ID: I20171115003334
Medical Identifiers
Medical identifiers for Renata Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912410309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 6790 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 6790 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Denova Collaborative Health, Llc | 2466437736 | 84 |
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. Renata Whitlock 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 |
|---|
Renata Whitlock, PA-C
3101 N Central Ave Ste 550,
Phoenix, AZ 85012-2635
Ph: (602) 230-7373 | Renata Whitlock, PA-C
3330 N 2nd St Ste 601,
Phoenix, AZ 85012-2395
Ph: (602) 230-7373 |
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