Dr Keith Edward Whaley, OD is a medicare enrolled "Optometrist" provider in Pigeon Forge, Tennessee. He went to University Alabama Birmingham - School Of Optometry and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Peaksight Family Eyecare Pllc and his current practice location is
2541 Sand Pike Blvd, Pigeon Forge, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 428-0959.
Dr Keith Edward Whaley is licensed to practice in Tennessee (license number OD1729) 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 1407881725.
Healthcare Provider's Profile
| Full Name | Dr Keith Edward Whaley |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 28 Years |
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| Location | 2541 Sand Pike Blvd, Pigeon Forge, Tennessee |
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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:
- Dr Keith Edward Whaley attended and graduated from University Alabama Birmingham - School Of Optometry in 1996
NPI Data:
- NPI Number: 1407881725
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 05/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 0648218263
- Enrollment ID: I20050422000762
Medical Identifiers
Medical identifiers for Dr Keith Edward Whaley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407881725 | NPI | - | NPPES |
| 3940567 | Medicaid | TN | |
| 621651733 | Other | TN | CHAMPVA |
| 621651733 | Other | TN | UNITED HEALTHCARE |
| 621651733 | Other | TN | CARITEN |
| 621651733 | Other | TN | CIGNA HEALTHCARE |
| 621651733 | Other | TN | HUMANA |
| 621651733 | Other | TN | JOHN DEERE HEALTHCARE |
| 3041669 | Other | TN | BCBS |
| 621651733 | Other | TN | TRICARE FOR LIFE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD1729 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Peaksight Family Eyecare Pllc | 6406217975 | 2 |
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. Dr Keith Edward Whaley allows following entities to bill medicare on his behalf.
| Provider Name | Peaksight Family Eyecare Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720793086
PECOS PAC ID: 6406217975
Enrollment ID: O20230731002985 |
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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. Dr Keith Edward Whaley 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 |
|---|
Dr Keith Edward Whaley, OD
2541 Sand Pike Blvd,
Pigeon Forge, TN 37863-6205
Ph: (865) 428-0959 | Dr Keith Edward Whaley, OD
2541 Sand Pike Blvd,
Pigeon Forge, TN 37863-6205
Ph: (865) 428-0959 |
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