Chester C Robert Whitley Iv, PA-C | |
4527 Blue Diamond Rd., Las Vegas, NV 89139-7620 | |
(252) 582-9827 | |
Not Available |
Full Name | Chester C Robert Whitley Iv |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 13 Years |
Location | 4527 Blue Diamond Rd., Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740550078 | NPI | - | NPPES |
PA1517 | Other | NV | STATE LICENSE |
V72760 | Other | NV | MEDICARE |
1740550078 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA1517 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centerwell Senior Primary Care (nv) Pc | 5092132340 | 55 |
Mailing Address | Practice Location Address |
---|---|
Chester C Robert Whitley Iv, PA-C 4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013 Ph: (725) 258-2982 | Chester C Robert Whitley Iv, PA-C 4527 Blue Diamond Rd., Las Vegas, NV 89139-7620 Ph: (252) 582-9827 |
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