Willie Roscoe Whitaker, MD in Statesville, NC

Willie Roscoe Whitaker, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Statesville, North Carolina. He went to Duke University School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Nephrology. His current practice location is 2117 Simonton Rd, Suite 102, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 872-8422.

Willie Roscoe Whitaker is licensed to practice in North Carolina (license number 2003-00428) 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 1861489759.

Contact Information

	Willie Roscoe Whitaker, MD
	2117 Simonton Rd, Suite 102, Statesville, NC 28625-8403
	(704) 872-8422
	(704) 872-8705

Map and Direction

Physician's Profile

Full Name	Willie Roscoe Whitaker
Gender	Male
Speciality	Nephrology
Experience	48 Years
Location	2117 Simonton Rd, Statesville, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Willie Roscoe Whitaker attended and graduated from Duke University School Of Medicine in 1976

NPI Data:

NPI Number: 1861489759
Provider Enumeration Date: 10/05/2005
Last Update Date: 03/21/2014

Medicare PECOS Information:

PECOS PAC ID: 0345133955
Enrollment ID: I20080813000337

Medical Identifiers

Medical identifiers for Willie Roscoe Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861489759	NPI	-	NPPES
C8620	Other	NC	MEDCOST
38354	Other	NC	PARTNERS' MEDICARE #
89134J6	Medicaid	NC
E73961	Other		UPIN
134J6	Other	NC	BLUE CROSS BLUE SHIELD #
3324386	Other	NC	CIGNA HEALTHCARE PROVIDER
P00010140	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	NC2003-00428 (North Carolina)	Secondary
207RN0300X	Internal Medicine - Nephrology	2003-00428 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Statesville Dialysis Center Of Wake Forest University	Statesville, NC	Dialysis facility
West Iredell Dialysis Center	Statesville, NC	Dialysis facility
Iredell Memorial Hospital Inc	Statesville, NC	Hospital

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. Willie Roscoe Whitaker allows following entities to bill medicare on his behalf.

Entity Name	Access Telecare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20200302000888

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. Willie Roscoe Whitaker 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
Willie Roscoe Whitaker, MD 2117 Simonton Rd, Suite 102, Statesville, NC 28625-8403 Ph: (704) 872-8422	Willie Roscoe Whitaker, MD 2117 Simonton Rd, Suite 102, Statesville, NC 28625-8403 Ph: (704) 872-8422

Reviews and Comments

Internal Medicine Doctors in Statesville, NC

Ms. Virginia Fredericka Wright, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-838-1234 Fax: 704-768-2081
Jose Eduardo Perez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8240 Fax: 704-384-5360
Dr. Nasib Ayoubi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 770 Hartness Rd, Statesville, NC 28677 Phone: 704-872-6810
Kevin Michael Lamm, Nephrology Medicare: Medicare Enrolled Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-878-2021 Fax: 704-878-2022
Elias David Ruiz Valdez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661
Neil M Kassman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-8215
Dr. Robert Adjamah Aryeetey, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Road, Suite 1100, Statesville, NC 28625 Phone: 704-878-2523 Fax: 704-878-6417

Willie Roscoe Whitaker, MD - Medicare Nephrology in Statesville, NC