Keith Allen Wharton Jr, MD PHD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Rockport, Massachusetts. Keith Allen Wharton Jr is licensed to practice in Massachusetts (license number 290177) and his current practice location is 56 Marmion Way, Rockport, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(214) 392-8966.
NPI number for Keith Allen Wharton Jr is 1003885542 and his current mailing address is 56 Marmion Way, Rockport, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003885542.
Physician's Profile
| Full Name | Keith Allen Wharton Jr |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 56 Marmion Way, Rockport, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003885542
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 07/03/2026
Medical Identifiers
Medical identifiers for Keith Allen Wharton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003885542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 290177 (Massachusetts) | 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. Keith Allen Wharton Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keith Allen Wharton Jr, MD PHD 56 Marmion Way, Rockport, MA 01966-1926 Ph: (214) 392-8966 | Keith Allen Wharton Jr, MD PHD 56 Marmion Way, Rockport, MA 01966-1926 Ph: (214) 392-8966 |
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