Michael Dwayne Whiteside Ii, in Arlington, VA - Medicare Social Worker Provider

Michael Dwayne Whiteside Ii, is a medicare enrolled "Social Worker - Clinical" provider in Arlington, Virginia. His current practice location is 3400 S Clark St Apt 722, Arlington, Virginia. You can reach out to his office (for appointments etc.) via phone at (317) 654-3078.

Michael Dwayne Whiteside Ii is licensed to practice in Virginia (license number 0904015430) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033887054.

Contact Information

	Michael Dwayne Whiteside Ii,
	3400 S Clark St Apt 722, Arlington, VA 22202-4059
	(317) 654-3078
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Dwayne Whiteside Ii
Gender	Male
Speciality	Social Worker - Clinical
Location	3400 S Clark St Apt 722, Arlington, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033887054
Provider Enumeration Date: 09/03/2021
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 7618334467
Enrollment ID: I20230609000246

Medical Identifiers

Medical identifiers for Michael Dwayne Whiteside Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033887054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	99105879A (Indiana)	Secondary
1041C0700X	Social Worker - Clinical	0904015430 (Virginia)	Primary

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. Michael Dwayne Whiteside Ii allows following entities to bill medicare on his behalf.

Entity Name	Limelight Recovery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245904754 PECOS PAC ID: 8921404294 Enrollment ID: O20210913000366

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320

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 Dwayne Whiteside Ii 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
Michael Dwayne Whiteside Ii, 3400 S Clark St Apt 722, Arlington, VA 22202-4059 Ph: (317) 654-3078	Michael Dwayne Whiteside Ii, 3400 S Clark St Apt 722, Arlington, VA 22202-4059 Ph: (317) 654-3078

Reviews and Comments

Social Worker in Arlington, VA

Christine M Marketti, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 Washington Blvd Fl 3, Arlington, VA 22204 Phone: 703-228-1550 Fax: 703-228-1171
Geraldine Carlon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 S. Arlington Ridge Rd, Unit 212, Arlington, VA 22202 Phone: 703-304-6614
Tracy Acton Jensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 N Hartford St, Arlington, VA 22201 Phone: 703-597-2070
Sarah Bigman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2120 Washington Blvd, Arlington, VA 22204 Phone: 703-228-5150
Rohini Batra, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 Washington Blvd Fl 3, Arlington, VA 22204 Phone: 703-228-5150 Fax: 703-228-5234
Ms. Jennifer Lynn Wells, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3838 Cathedral Ln, Arlington, VA 22203 Phone: 703-841-2531

Michael Dwayne Whiteside Ii, - Medicare Clinical Social Worker in Arlington, VA