Cory Mitchell Whitlock, PAC is a
Physician Assistant physician based in Henderson, Nevada. Cory Mitchell Whitlock is licensed to practice in Nevada (license number PA1821) and his current practice location is 2481 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 848-6971.
NPI number for Cory Mitchell Whitlock is 1205204781 and his current mailing address is 427 Blackridge Rd, Henderson, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205204781.
Physician's Profile
| Full Name | Cory Mitchell Whitlock |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2481 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205204781
- Provider Enumeration Date: 09/14/2015
- Last Update Date: 05/01/2025
Medical Identifiers
Medical identifiers for Cory Mitchell Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205204781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | PA1821 (Nevada) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA1821 (Nevada) | 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. Cory Mitchell Whitlock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cory Mitchell Whitlock, PAC
427 Blackridge Rd,
Henderson, NV 89015-7632
Ph: (775) 848-6971 | Cory Mitchell Whitlock, PAC
2481 W Horizon Ridge Pkwy Ste 100,
Henderson, NV 89052-5926
Ph: (775) 848-6971 |
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