John Roger Whittaker, MD in Jacksonville, FL

John Roger Whittaker, MD is a medicare enrolled "Urology" physician in Jacksonville, Florida. His current practice location is 710 Lomax St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 355-6583.

John Roger Whittaker is licensed to practice in Florida (license number ME25510) 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 1457492209.

Contact Information

	John Roger Whittaker, MD
	710 Lomax St, Jacksonville, FL 32204-4004
	(904) 355-6583
	(904) 355-4922

Map and Direction

Physician's Profile

Full Name	John Roger Whittaker
Gender	Male
Speciality	Urology
Location	710 Lomax St, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457492209
Provider Enumeration Date: 02/12/2007
Last Update Date: 05/08/2008

Medicare PECOS Information:

PECOS PAC ID: 4587616412
Enrollment ID: I20160412001271

Medical Identifiers

Medical identifiers for John Roger Whittaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457492209	NPI	-	NPPES
045080400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME25510 (Florida)	Primary

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. John Roger Whittaker 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
John Roger Whittaker, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583	John Roger Whittaker, MD 710 Lomax St, Jacksonville, FL 32204-4004 Ph: (904) 355-6583

Reviews and Comments

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Sarah Jessica Hampton, Urology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Daniela Andrea Haehn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Khue Anh Minh Tran, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Charles Gary Cobb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 710 Lomax St, Jacksonville, FL 32204 Phone: 904-355-6583 Fax: 904-355-4922

John Roger Whittaker, MD - Medicare Urology in Jacksonville, FL