Scott Michael Whitlock, MD is a medicare enrolled "Dermatology" physician in Buckeye, Arizona. He went to Eastern Virginia Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Epiphany Dermatology Of Arizona Llc and his current practice location is
20800 W Market St Ste 111, Buckeye, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 624-7200.
Scott Michael Whitlock is licensed to practice in Arizona (license number 71230) 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 1992237473.
Physician's Profile
| Full Name | Scott Michael Whitlock |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 7 Years |
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| Location | 20800 W Market St Ste 111, Buckeye, Arizona |
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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:
- Scott Michael Whitlock attended and graduated from Eastern Virginia Medical School in 2017
NPI Data:
- NPI Number: 1992237473
- Provider Enumeration Date: 04/03/2017
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436568235
- Enrollment ID: I20240214001296
Medical Identifiers
Medical identifiers for Scott Michael Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992237473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 0101271866 (Virginia) | Secondary |
| 207N00000X | Dermatology | 71230 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Epiphany Dermatology Of Arizona Llc | 9830181361 | 23 |
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. Scott Michael Whitlock allows following entities to bill medicare on his behalf.
| Entity Name | Epiphany Dermatology Of Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457465858
PECOS PAC ID: 9830181361
Enrollment ID: O20040402000307 |
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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. Scott Michael 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 |
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Scott Michael Whitlock, MD
20800 W Market St Ste 111,
Buckeye, AZ 85396-8040
Ph: (623) 624-7200 | Scott Michael Whitlock, MD
20800 W Market St Ste 111,
Buckeye, AZ 85396-8040
Ph: (623) 624-7200 |
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