Dr Johnathan Jack Whitaker, DO is a medicare enrolled "Orthopaedic Surgery" physician in Elkin, North Carolina. He went to Virginia Commonwealth Univ School Of Dentistry and graduated in 2010 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Hugh Chatham Memorial Hospital Inc and his current practice location is
400 Johnson Ridge Medical Park, Elkin, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 526-4500.
Dr Johnathan Jack Whitaker is licensed to practice in North Carolina (license number 2015-00253) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376863456.
Physician's Profile
| Full Name | Dr Johnathan Jack Whitaker |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 15 Years |
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| Location | 400 Johnson Ridge Medical Park, Elkin, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Johnathan Jack Whitaker attended and graduated from Virginia Commonwealth Univ School Of Dentistry in 2010
NPI Data:
- NPI Number: 1376863456
- Provider Enumeration Date: 06/11/2010
- Last Update Date: 07/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 4082927181
- Enrollment ID: I20150718000127
Medical Identifiers
Medical identifiers for Dr Johnathan Jack Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376863456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | OT013666 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2806 (Tennessee) | Secondary |
| 207X00000X | Orthopaedic Surgery | OS017457 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2015-00253 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Hugh Chatham Memorial Hospital Inc | 2062311442 | 76 |
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 Johnathan Jack Whitaker allows following entities to bill medicare on his behalf.
| Entity Name | Hugh Chatham Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447373063 PECOS PAC ID: 2062311442 Enrollment ID: O20040717000340 |
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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 Johnathan Jack 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 |
Dr Johnathan Jack Whitaker, DO 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 Ph: () - | Dr Johnathan Jack Whitaker, DO 400 Johnson Ridge Medical Park, Elkin, NC 28621-2447 Ph: (336) 526-4500 |
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