John Whited, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Bingham Farms, Michigan. His current practice location is
30200 Telegraph Rd, Suite 220, Bingham Farms, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 258-5058.
John Whited is licensed to practice in Michigan (license number 4704204265) 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 1437117629.
Physician's Profile
| Full Name | John Whited |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 30200 Telegraph Rd, Bingham Farms, Michigan |
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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: 1437117629
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 11/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103730916
- Enrollment ID: I20050201000600
Medical Identifiers
Medical identifiers for John Whited such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437117629 | NPI | - | NPPES |
| 104796278 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 4704204265 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704204265 (Michigan) | 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. John Whited allows following entities to bill medicare on his behalf.
| Entity Name | Ascension St John Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
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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. John Whited 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 Whited, CRNA 22101 Moross Rd, Detroit, MI 48236-2148 Ph: () - | John Whited, CRNA 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 Ph: (248) 258-5058 |
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