Mr Shaughn Randall Whittaker, in Orlando, FL - Medicare Nurse Practitioner

Mr Shaughn Randall Whittaker, is a medicare enrolled "Nurse Practitioner - Adult Health" in Orlando, Florida. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Orlando Health Medical Group Inc and his current practice location is 1720 S Orange Ave, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 842-9000.

Mr Shaughn Randall Whittaker is licensed to practice in Florida (license number APRN11002533) 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 1932753456.

Contact Information

	Mr Shaughn Randall Whittaker,
	1720 S Orange Ave, Orlando, FL 32806-2945
	(321) 842-9000
	(321) 843-6326

Map and Direction

Provider's Profile

Full Name	Mr Shaughn Randall Whittaker
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1720 S Orange Ave, Orlando, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shaughn Randall Whittaker graduated from nursing school in 2019

NPI Data:

NPI Number: 1932753456
Provider Enumeration Date: 08/01/2019
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0042549552
Enrollment ID: I20221024001218

Medical Identifiers

Medical identifiers for Mr Shaughn Randall Whittaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932753456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11002533 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APRN11002533 (Florida)	Primary
363LF0000X	Nurse Practitioner - Family	95012121 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orlando Health	Orlando, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orlando Health Medical Group Inc	9537059084	1478

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. Mr Shaughn Randall Whittaker allows following entities to bill medicare on his behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

Entity Name	Orlando Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

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. Mr Shaughn Randall Whittaker 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
Mr Shaughn Randall Whittaker, 1720 S Orange Ave, Orlando, FL 32806-2945 Ph: (321) 842-9000	Mr Shaughn Randall Whittaker, 1720 S Orange Ave, Orlando, FL 32806-2945 Ph: (321) 842-9000

Reviews and Comments

Nurse Practitioner Nurses in Orlando, FL

Janine Marie Kyte, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822 Phone: 407-322-8645 Fax: 407-322-8725
Latoya Wells, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mercy Dr, Wellness Program, Orlando, FL 32808 Phone: 407-822-5064 Fax: 407-532-1088
Aymara Del Pino, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 E Ridgewood St, Orlando, FL 32803 Phone: 407-841-1100
Mr. Heng Chai Lai, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Orlando, FL 32806 Phone: 321-843-5270 Fax: 321-843-5177
Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470

Mr Shaughn Randall Whittaker, - Medicare Nurse Practitioner in Orlando, FL