Dr Steven Dale Whaley, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Michigan City, Indiana. His current practice location is
4111 Franklin St, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 476-9389.
Dr Steven Dale Whaley is licensed to practice in Indiana (license number 01034756) 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 1205971165.
Physician's Profile
| Full Name | Dr Steven Dale Whaley |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 4111 Franklin St, Michigan City, Indiana |
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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: 1205971165
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 2062542459
- Enrollment ID: I20100610001092
Medical Identifiers
Medical identifiers for Dr Steven Dale Whaley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205971165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 01034756 (Indiana) | 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 Steven Dale Whaley allows following entities to bill medicare on his behalf.
| Entity Name | The South Bend Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439 |
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| Entity Name | Pic Indiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20130515000110 |
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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 Steven Dale Whaley 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 Steven Dale Whaley, MD
51033 Huntington Ln,
Granger, IN 46530-8813
Ph: (574) 271-0436 | Dr Steven Dale Whaley, MD
4111 Franklin St,
Michigan City, IN 46360-7803
Ph: (219) 476-9389 |
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