| Dr Joshua Drew Whitledge, DO | |
|
1135 Broadway St, South Fulton, TN 38257-2835 | |
| (731) 479-2606 | |
| (731) 479-2610 |
| Full Name | Dr Joshua Drew Whitledge |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 1135 Broadway St, South Fulton, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871596767 | NPI | - | NPPES |
| 4047266 | Medicaid | TN | |
| 103I089052 | Other | TN | MEDICARE B-TN |
| 64111669 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02888 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 02720 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Home Health Care Of Fulton | Fulton, KY | Home health agency |
| Abilishealth Martin, Llc | Martin, TN | Home health agency |
| Amedisys Home Health Care | Jackson, TN | Home health agency |
| Extendicare Home Health Of Western Tn | Union city, TN | Home health agency |
| Volunteer Community Hospital | Martin, TN | Hospital |
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Jackson Purchase Medical Center | Mayfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Health | 5193070613 | 10 |
| Entity Name | Martin Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669876520 PECOS PAC ID: 5193070613 Enrollment ID: O20180925003822 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Drew Whitledge, DO 1135 Broadway St, South Fulton, TN 38257-2835 Ph: (731) 479-2606 | Dr Joshua Drew Whitledge, DO 1135 Broadway St, South Fulton, TN 38257-2835 Ph: (731) 479-2606 |
Jahn Osvaldo Acevedo-ortiz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1135 Broadway St, South Fulton, TN 38257 Phone: 731-479-2606 |