Lisa M Whiteaker, MD is a medicare enrolled "Dermatology" physician in Cookeville, Tennessee. She went to Vanderbilt University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. Her current practice location is
1120 Perimeter Park Dr, Cookeville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 528-0002.
Lisa M Whiteaker is licensed to practice in Tennessee (license number MD28108) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306811427.
Physician's Profile
| Full Name | Lisa M Whiteaker |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 27 Years |
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| Location | 1120 Perimeter Park Dr, Cookeville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa M Whiteaker attended and graduated from Vanderbilt University School Of Medicine in 1997
NPI Data:
- NPI Number: 1306811427
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648229591
- Enrollment ID: I20050118000553
Medical Identifiers
Medical identifiers for Lisa M Whiteaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306811427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD28108 (Tennessee) | 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. Lisa M Whiteaker 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 |
|---|
Lisa M Whiteaker, MD
1120 Perimeter Park Dr,
Cookeville, TN 38501-0922
Ph: (931) 528-0002 | Lisa M Whiteaker, MD
1120 Perimeter Park Dr,
Cookeville, TN 38501-0922
Ph: (931) 528-0002 |
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