Kelly Rader Whaley, DPM is a medicare enrolled "Podiatrist" provider in Willowick, Ohio. Her current practice location is
144 Larimar Dr, Willowick, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 229-0292.
Kelly Rader Whaley is licensed to practice in Ohio (license number 3068) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245398353.
Healthcare Provider's Profile
Full Name | Kelly Rader Whaley |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 144 Larimar Dr, Willowick, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245398353
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395746564
- Enrollment ID: I20070131000172
Medical Identifiers
Medical identifiers for Kelly Rader Whaley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245398353 | NPI | - | NPPES |
2138467 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 3068 (Ohio) | 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. Kelly Rader 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 |
Kelly Rader Whaley, DPM Po Box 182, Wickliffe, OH 44092-0182 Ph: (216) 229-0292 | Kelly Rader Whaley, DPM 144 Larimar Dr, Willowick, OH 44095-5212 Ph: (216) 229-0292 |
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