Breanna Whitlock, MS, FNP-BC in Bethesda, MD - Medicare Nurse Practitioner

Breanna Whitlock, MS, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bethesda, Maryland. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Champlain Valley Physicians Hospital Medical Center and her current practice location is 6420 Rockledge Dr, Suite 4100, Bethesda, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 530-5151.

Breanna Whitlock is licensed to practice in Maryland (license number AC001604) 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 1376910331.

Contact Information

	Breanna Whitlock, MS, FNP-BC
	6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837
	(301) 530-5151
	(301) 530-7735

Map and Direction

Provider's Profile

Full Name	Breanna Whitlock
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	6420 Rockledge Dr, Bethesda, Maryland
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:

Breanna Whitlock graduated from nursing school in 2015

NPI Data:

NPI Number: 1376910331
Provider Enumeration Date: 08/26/2015
Last Update Date: 11/23/2015

Medicare PECOS Information:

PECOS PAC ID: 2466752324
Enrollment ID: I20210805002153

Medical Identifiers

Medical identifiers for Breanna Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376910331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AC001604 (Maryland)	Primary
163W00000X	Registered Nurse	0001260669 (Virginia)	Secondary
163W00000X	Registered Nurse	205443 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Champlain Valley Physicians Hospital Medical Ctr	Plattsburgh, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Champlain Valley Physicians Hospital Medical Center	2769396878	239

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. Breanna Whitlock allows following entities to bill medicare on her behalf.

Entity Name	Champlain Valley Physicians Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623

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. Breanna 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
Breanna Whitlock, MS, FNP-BC 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 Ph: (301) 530-5151	Breanna Whitlock, MS, FNP-BC 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 Ph: (301) 530-5151

Reviews and Comments

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Breanna Whitlock, MS, FNP-BC - Medicare Nurse Practitioner in Bethesda, MD