Mrs Kathleen Ellen Whisman, MD in Sebastopol, CA

Mrs Kathleen Ellen Whisman, MD is a medicare enrolled "Family Medicine" physician in Sebastopol, California. She went to George Washington University School Of Medicine and graduated in 1992 and has 34 years of diverse experience with area of expertise as Family Practice. Her current practice location is 678 Petaluma Ave, Sebastopol, California. You can reach out to her office (for appointments etc.) via phone at (707) 823-6997.

Mrs Kathleen Ellen Whisman is licensed to practice in California (license number G79463) 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 1124179353.

Contact Information

	Mrs Kathleen Ellen Whisman, MD
	678 Petaluma Ave, Sebastopol, CA 95472-4217
	(707) 823-6997
	(707) 829-3709

Map and Direction

Physician's Profile

Full Name	Mrs Kathleen Ellen Whisman
Gender	Female
Speciality	Family Practice
Experience	34 Years
Location	678 Petaluma Ave, Sebastopol, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kathleen Ellen Whisman attended and graduated from George Washington University School Of Medicine in 1992

NPI Data:

NPI Number: 1124179353
Provider Enumeration Date: 01/15/2007
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5092868240
Enrollment ID: I20090805000362

Medical Identifiers

Medical identifiers for Mrs Kathleen Ellen Whisman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124179353	NPI	-	NPPES
00G794630	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G79463 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
Healdsburg District Hospital	Healdsburg, CA	Hospital

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. Mrs Kathleen Ellen Whisman allows following entities to bill medicare on her behalf.

Entity Name	North Sonoma County Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194824573 PECOS PAC ID: 4789594367 Enrollment ID: O20060406000251

Entity Name	Compassionate Concierge Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255905873 PECOS PAC ID: 7315349495 Enrollment ID: O20210712003887

Entity Name	Sebastopol Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497329015 PECOS PAC ID: 9032511977 Enrollment ID: O20210714002093

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. Mrs Kathleen Ellen Whisman 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
Mrs Kathleen Ellen Whisman, MD 678 Petaluma Ave, Sebastopol, CA 95472-4217 Ph: (707) 694-2390	Mrs Kathleen Ellen Whisman, MD 678 Petaluma Ave, Sebastopol, CA 95472-4217 Ph: (707) 823-6997

Reviews and Comments

Family Medicine Doctors in Sebastopol, CA

Dr. James Arthur Lowy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite F, Sebastopol, CA 95472 Phone: 707-823-2334 Fax: 707-823-3007
Ralph Llewellyn Pendleton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10509 Mill Station Rd, Sebastopol, CA 95472 Phone: 707-823-9065 Fax: 707-829-6932
James F. Yusuf Q. Erskine, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1346 High School Rd, Sebastopol, CA 95472 Phone: 707-824-8683 Fax: 707-824-9235
Richard E Powers, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Ste A, Sebastopol, CA 95472 Phone: 707-823-5341 Fax: 707-823-8638
Dr. Rhonda Berney, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Suite C, Sebastopol, CA 95472 Phone: 707-824-9000 Fax: 707-824-9329
John Peter Canova, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 678 Petaluma Ave, Sebastopol, CA 95472 Phone: 707-829-2232 Fax: 707-829-3709

Mrs Kathleen Ellen Whisman, MD - Medicare Family Practice in Sebastopol, CA