David R Whitehead, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poteau, Oklahoma. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Willow Anesthesia Services, Llc and his current practice location is
105 Wall St, Poteau, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 635-3566.
David R Whitehead is licensed to practice in Oklahoma (license number R113988) 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 1982992996.
Provider's Profile
| Full Name | David R Whitehead |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 13 Years |
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| Location | 105 Wall St, Poteau, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David R Whitehead graduated from nursing school in 2011
NPI Data:
- NPI Number: 1982992996
- Provider Enumeration Date: 07/12/2011
- Last Update Date: 09/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204006406
- Enrollment ID: I20130904000207
Medical Identifiers
Medical identifiers for David R Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982992996 | NPI | - | NPPES |
| 9957742 | Other | MS | AETNA |
| P01009724 | Other | MS | RAILROAD MEDICARE |
| 200499820B | Medicaid | OK | |
| 08277891 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R871679 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R113988 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Willow Anesthesia Services, Llc | 9234279183 | 27 |
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. David R Whitehead allows following entities to bill medicare on his behalf.
| Entity Name | Willow Anesthesia Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205169521
PECOS PAC ID: 9234279183
Enrollment ID: O20100407000363 |
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| Entity Name | Protection Anesthesia Services Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457001109
PECOS PAC ID: 4486014834
Enrollment ID: O20230717001616 |
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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. David R Whitehead 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 |
|---|
David R Whitehead, CRNA
Po Box 1148,
Poteau, OK 74953-1148
Ph: (918) 635-3566 | David R Whitehead, CRNA
105 Wall St,
Poteau, OK 74953-4433
Ph: (918) 635-3566 |
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