Cory Mitchell Whitlock, PAC is a medicare enrolled "Physician Assistant" physician in Henderson, Nevada. His current practice location is
2481 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 848-6971.
Cory Mitchell Whitlock is licensed to practice in Nevada (license number PA1821) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205204781
- Provider Enumeration Date: 09/14/2015
- Last Update Date: 05/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052836665
- Enrollment ID: I20250416001474
Medical Identifiers
Medical identifiers for Cory Mitchell Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205204781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 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. Cory Mitchell Whitlock allows following entities to bill medicare on his behalf.
| Entity Name | Psychiatry of Texas PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013476027
PECOS PAC ID: 0345573598
Enrollment ID: O20240524001464 |
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| Entity Name | Psychplus Medical Associates PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558118026
PECOS PAC ID: 2668813460
Enrollment ID: O20250115001570 |
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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. Cory Mitchell Whitlock 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 |
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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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