Stacy Eleanor Whitelock, MD in Fullerton, CA

Stacy Eleanor Whitelock, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Fullerton, California. She went to University Of California, Geffen School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Providence Medical Foundation and her current practice location is 2141 N Harbor Blvd, Suite 25000, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 626-8650.

Stacy Eleanor Whitelock is licensed to practice in California (license number A84206) 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 1497886048.

Contact Information

	Stacy Eleanor Whitelock, MD
	2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827
	(714) 626-8650
	(714) 626-8696

Map and Direction

Physician's Profile

Full Name	Stacy Eleanor Whitelock
Gender	Female
Speciality	Dermatology
Experience	22 Years
Location	2141 N Harbor Blvd, Fullerton, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy Eleanor Whitelock attended and graduated from University Of California, Geffen School Of Medicine in 2002

NPI Data:

NPI Number: 1497886048
Provider Enumeration Date: 03/07/2007
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0244255057
Enrollment ID: I20051011000743

Medical Identifiers

Medical identifiers for Stacy Eleanor Whitelock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497886048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	A84206 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Stacy Eleanor Whitelock allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Stacy Eleanor Whitelock 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
Stacy Eleanor Whitelock, MD 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 Ph: (714) 626-8650	Stacy Eleanor Whitelock, MD 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 Ph: (714) 626-8650

Reviews and Comments

Dermatology Doctors in Fullerton, CA

Dr. Helia Eragi, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835 Phone: 714-879-9936
Khaled Mahmoud Hassan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835 Phone: 714-578-8527 Fax: 714-578-8570
Patrick Robert Dahl, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588
Kristina A Holmkvist, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 W Bastanchury Road, Suite 245, Fullerton, CA 92835 Phone: 714-525-3500 Fax: 714-525-3588
Dr. Brian Somoano, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835 Phone: 714-626-8610 Fax: 714-626-8655
Dr. Robert Rosenberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2720 N Harbor Blvd, Suite 210, Fullerton, CA 92835 Phone: 714-626-6310 Fax: 714-626-6320

Stacy Eleanor Whitelock, MD - Medicare Dermatology in Fullerton, CA