Misty Danelle Polston Whipkey, NP is a medicare enrolled "Dermatology" in Myrtle Beach, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Waccamaw Dermatology Llc and her current practice location is
917 Medical Cir, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 449-0453.
Misty Danelle Polston Whipkey is licensed to practice in South Carolina (license number 21023) 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 1124556584.
Provider's Profile
| Full Name | Misty Danelle Polston Whipkey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 917 Medical Cir, Myrtle Beach, South Carolina |
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| Accepts Medicare Assignments | Yes. She 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:
- Misty Danelle Polston Whipkey graduated from nursing school in 2017
NPI Data:
- NPI Number: 1124556584
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305110396
- Enrollment ID: I20170914000498
Medical Identifiers
Medical identifiers for Misty Danelle Polston Whipkey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124556584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 21023 (South Carolina) | Secondary |
| 207N00000X | Dermatology | 21023 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Waccamaw Dermatology Llc | 7315021169 | 15 |
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. Misty Danelle Polston Whipkey allows following entities to bill medicare on her behalf.
| Entity Name | Waccamaw Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962449181
PECOS PAC ID: 7315021169
Enrollment ID: O20080303000763 |
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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. Misty Danelle Polston Whipkey 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 |
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Misty Danelle Polston Whipkey, NP
917 Medical Cir,
Myrtle Beach, SC 29572-4116
Ph: (843) 449-0453 | Misty Danelle Polston Whipkey, NP
917 Medical Cir,
Myrtle Beach, SC 29572-4116
Ph: (843) 449-0453 |
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