Michael S Whitaker, is a
Nurse Practitioner - Family based in Ft Jackson, South Carolina. Michael S Whitaker is licensed to practice in South Carolina (license number 309) and his current practice location is
4500 Stuart St., Ft Jackson, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 251-6789.
NPI number for Michael S Whitaker is 1366569089 and his current mailing address is 424 Kettering Ct, Columbia, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366569089.
Provider's Profile
Full Name | Michael S Whitaker |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 4500 Stuart St., Ft Jackson, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366569089
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 07/13/2008
Medical Identifiers
Medical identifiers for Michael S Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366569089 | NPI | - | NPPES |
309 | Other | SC | SC NURSING LICENSE FOR ADVANCED PRACTICE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 309 (South Carolina) | Primary |
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. Michael S Whitaker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael S Whitaker, 424 Kettering Ct, Columbia, SC 29210-4200 Ph: () - | Michael S Whitaker, 4500 Stuart St., Ft Jackson, SC 29207-5720 Ph: (803) 251-6789 |
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