Sara J Whitlock, PT is a
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine physician based in Russellville, Arkansas. Sara J Whitlock is licensed to practice in Arkansas (license number PT745) and her current practice location is 2703 W Main St, Russellville, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 890-5494.
NPI number for Sara J Whitlock is 1487698916 and her current mailing address is Po Box 9178, Russellville, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487698916.
Physician's Profile
| Full Name | Sara J Whitlock |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
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| Location | 2703 W Main St, Russellville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487698916
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sara J Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487698916 | NPI | - | NPPES |
| 5S636 | Other | AR | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | PT745 (Arkansas) | Primary |
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. Sara J Whitlock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sara J Whitlock, PT
Po Box 9178,
Russellville, AR 72811-9178
Ph: (479) 968-4273 | Sara J Whitlock, PT
2703 W Main St,
Russellville, AR 72801-2456
Ph: (479) 890-5494 |
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