Thomas Welles Whitaker, in Port Angeles, WA - Medicare Counselor Provider

Thomas Welles Whitaker, is a medicare enrolled "Counselor - Mental Health" provider in Port Angeles, Washington. His current practice location is 2431 W 16th St, Port Angeles, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 422-8693.

Thomas Welles Whitaker is licensed to practice in Washington (license number LH61595693) 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 1932719051.

Contact Information

	Thomas Welles Whitaker,
	2431 W 16th St, Port Angeles, WA 98363-1347
	(206) 422-8693
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Welles Whitaker
Gender	Male
Speciality	Counselor - Mental Health
Location	2431 W 16th St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932719051
Provider Enumeration Date: 08/04/2020
Last Update Date: 11/22/2024

Medicare PECOS Information:

PECOS PAC ID: 6709311962
Enrollment ID: I20241125001644

Medical Identifiers

Medical identifiers for Thomas Welles Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932719051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61595693 (Washington)	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. Thomas Welles Whitaker allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Thomas Welles Whitaker 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
Thomas Welles Whitaker, 2431 W 16th St, Port Angeles, WA 98363-1347 Ph: (206) 422-8693	Thomas Welles Whitaker, 2431 W 16th St, Port Angeles, WA 98363-1347 Ph: (206) 422-8693

Reviews and Comments

Counselor in Port Angeles, WA

Deborah Fredson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Nicole Lynn Moreira, MA, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Laura Lee Eliason, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Ms. Roberta L Charles, ME, CAS,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Charles Rd, Port Angeles, WA 98363 Phone: 360-460-5963
Kevin Dean Collins, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Port Angeles, WA 98362 Phone: 360-452-4432 Fax: 360-452-4599
Teresa Mckenzie, CO60123119 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 E 1st St, Suite 2, Port Angeles, WA 98362 Phone: 360-452-9836
Cypress Bergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493

Thomas Welles Whitaker, - Medicare Counselor in Port Angeles, WA