Dr Stanley Wayne Whitaker, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Conway, New Hampshire. His current practice location is
24 Pleasant St, Conway, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 447-3313.
Dr Stanley Wayne Whitaker is licensed to practice in New Hampshire (license number 8788) 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 1487653267.
Physician's Profile
| Full Name | Dr Stanley Wayne Whitaker |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 24 Pleasant St, Conway, New Hampshire |
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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: 1487653267
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 05/12/2009
Medicare PECOS Information:
- PECOS PAC ID: 9335043702
- Enrollment ID: I20180515000542
Medical Identifiers
Medical identifiers for Dr Stanley Wayne Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487653267 | NPI | - | NPPES |
| 200597587 | Other | | TIMBERLINE TAX ID |
| 593763829 | Other | | SOUND MED IMAGING TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 8788 (New Hampshire) | 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 Stanley Wayne Whitaker allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
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| Entity Name | Shelin Agrawal And Hyer Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20150331002906 |
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| Entity Name | Ellis Bandt Birkin Kollins & Wong Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20150708000945 |
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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 Stanley Wayne 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 Stanley Wayne Whitaker, MD Po Box 2048, Conway, NH 03818-2048 Ph: (603) 447-3313 | Dr Stanley Wayne Whitaker, MD 24 Pleasant St, Conway, NH 03818 Ph: (603) 447-3313 |
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