Dr Edward W Whitesides, MD is a medicare enrolled "Specialist" physician in Wilmington, North Carolina. His current practice location is
1905 Glen Meade Rd, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 763-6251.
Dr Edward W Whitesides is licensed to practice in North Carolina (license number 36671) 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 1033104344.
Physician's Profile
| Full Name | Dr Edward W Whitesides |
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| Gender | Male |
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| Speciality | Specialist |
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| Location | 1905 Glen Meade Rd, Wilmington, North Carolina |
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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: 1033104344
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143116939
- Enrollment ID: I20231208000260
Medical Identifiers
Medical identifiers for Dr Edward W Whitesides such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033104344 | NPI | - | NPPES |
| 79-87180 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | D98830 (Maryland) | Secondary |
| 174400000X | Specialist | 36671 (North Carolina) | 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. Dr Edward W Whitesides allows following entities to bill medicare on his behalf.
| Entity Name | Medical Practices Of Antietam, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
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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. Dr Edward W Whitesides 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 |
Dr Edward W Whitesides, MD 1905 Glen Meade Rd, Wilmington, NC 28403-6024 Ph: (910) 763-6251 | Dr Edward W Whitesides, MD 1905 Glen Meade Rd, Wilmington, NC 28403-6024 Ph: (910) 763-6251 |
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