Brandon Lane Whitlock, AG-ACNP - Medicare Nurse Practitioner in Clarkston, WA

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Brandon Lane Whitlock, AG-ACNP is a medicare enrolled "Nurse Practitioner - Family" in Clarkston, Washington. His current practice location is 1625 5th St, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 295-8398.

Brandon Lane Whitlock is licensed to practice in Washington (license number AP61081911) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124353719.

Contact Information

Brandon Lane Whitlock, AG-ACNP
1625 5th St,
Clarkston, WA 99403-3001
(509) 295-8398
(509) 295-8416

Map and Direction




Provider's Profile

Full NameBrandon Lane Whitlock
GenderMale
SpecialityNurse Practitioner - Family
Location1625 5th St, Clarkston, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124353719
  • Provider Enumeration Date: 10/15/2009
  • Last Update Date: 06/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436572740
  • Enrollment ID: I20201124003092

Medical Identifiers

Medical identifiers for Brandon Lane Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124353719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP61081911 (Washington)Primary
363LF0000XNurse Practitioner - Family 65287 (Idaho)Secondary

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. Brandon Lane Whitlock allows following entities to bill medicare on his behalf.
Entity NameSound Physicians Of Idaho
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730407461
PECOS PAC ID: 4688705346
Enrollment ID: O20100624000921
Entity NameMeza Post Acute And Long Term Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932725215
PECOS PAC ID: 4981028503
Enrollment ID: O20200715002977
Entity NameVannvei Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881200517
PECOS PAC ID: 1254743420
Enrollment ID: O20201211000338

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. Brandon Lane 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 AddressPractice Location Address
Brandon Lane Whitlock, AG-ACNP
Po Box 189,
Clarkston, WA 99403-0189

Ph: (509) 758-1119		Brandon Lane Whitlock, AG-ACNP
1625 5th St,
Clarkston, WA 99403-3001

Ph: (509) 295-8398

Reviews and Comments


Nurse Practitioner Nurses in Clarkston, WA

Jennifer Lynn Nicholas, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1433 5th St, Clarkston, WA 99403
Phone: 509-758-5141    Fax: 509-758-5299
Laure M Larsen, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1119 Highland Ave, Clarkston, WA 99403
Phone: 509-780-4450    Fax: 509-758-3700
Jennifer Seegmiller, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1433 5th St, Clarkston, WA 99403
Phone: 509-758-5141    
Brian Francis Ciezki, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1625 5th St, Clarkston, WA 99403
Phone: 509-295-8398    Fax: 509-295-8416
Angel D Klippenstein, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 808 Port Dr, Clarkston, WA 99403
Phone: 208-298-0720    Fax: 208-298-0727
Charmaine R Allen-johnson, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 619 Diagonal St, Clarkston, WA 99403
Phone: 509-758-9003    Fax: 509-758-9001

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.