Richard Whitaker, MD | |
705 Dixie St, Carrollton, GA 30117-3818 | |
(770) 836-9666 | |
Not Available |
Full Name | Richard Whitaker |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 705 Dixie St, Carrollton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265499867 | NPI | - | NPPES |
074623150A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 056783 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 056783 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carrollton Emergency Physicians Pc | 7416860010 | 14 |
Entity Name | Carrollton Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028 |
Mailing Address | Practice Location Address |
---|---|
Richard Whitaker, MD 1581 Stripling Chapel Rd, Carrollton, GA 30116-6908 Ph: () - | Richard Whitaker, MD 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 836-9666 |
Brett Wynn, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Jesse Mitchell Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Nathan Hundley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9597 | |
Michael Eckert, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Tanner Health Systems, Emergency Dept, Carrollton, GA 30117 Phone: 770-836-9666 | |
Theodore Nicholson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Timothy Paul, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 |