Corey Michael Whitesides, PA-C - Medicare Physician Assistant in Kansas City, MO

  1. Home
  2. Physician Assistant
  3. MO
  4. Kansas City
Corey Michael Whitesides, PA-C is a medicare enrolled "Physician Assistant - Medical" in Kansas City, Missouri. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Central Missouri Dermatology Associates, Llp and his current practice location is 2790 Clay Edwards Dr, Ste 600, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 561-3003.

Corey Michael Whitesides is licensed to practice in Missouri (license number 2013013231) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689019614.

Contact Information

Corey Michael Whitesides, PA-C
2790 Clay Edwards Dr, Ste 600,
Kansas City, MO 64116-3276
(816) 561-3003
(816) 889-1584

Map and Direction




Provider's Profile

Full NameCorey Michael Whitesides
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location2790 Clay Edwards Dr, Kansas City, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Corey Michael Whitesides graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1689019614
  • Provider Enumeration Date: 05/03/2013
  • Last Update Date: 05/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6800037813
  • Enrollment ID: I20130801000827

Medical Identifiers

Medical identifiers for Corey Michael Whitesides such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689019614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2013013231 (Missouri)Primary
363AS0400XPhysician Assistant - Surgical 2013013231 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boone Hospital CenterColumbia, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Missouri Dermatology Associates, Llp478980306515

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. Corey Michael Whitesides allows following entities to bill medicare on his behalf.
Entity NameKansas University Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922144856
PECOS PAC ID: 8921911587
Enrollment ID: O20101228000020
Entity NameNova Health Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366946832
PECOS PAC ID: 7911262787
Enrollment ID: O20180525001358
Entity NameCentral Missouri Dermatology Associates, LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447669932
PECOS PAC ID: 4789803065
Enrollment ID: O20230524000880

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. Corey Michael Whitesides 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 AddressPractice Location Address
Corey Michael Whitesides, PA-C
2790 Clay Edwards Dr, Ste 600,
Kansas City, MO 64116-3276

Ph: (816) 561-3003		Corey Michael Whitesides, PA-C
2790 Clay Edwards Dr, Ste 600,
Kansas City, MO 64116-3276

Ph: (816) 561-3003

Reviews and Comments


Physician Assistant Nurses in Kansas City, MO

Krishna L Schmidt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Carondelet Dr, Suite 125, Kansas City, MO 64114
Phone: 816-942-1150    Fax: 816-942-0322
Sheza Faruqi, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3406 Broadway Blvd Ste B, Kansas City, MO 64111
Phone: 816-756-5839    Fax: 816-756-5874
Dara M Angell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E 101st Ter, Kansas City, MO 64131
Phone: 913-945-9660    
Laura Vinck,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4321 Washington St Ste 6100, Kansas City, MO 64111
Phone: 816-932-3470    Fax: 816-932-3437
Michael Bedwell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Wornall Rd, Kansas City, MO 64111
Phone: 816-932-5100    
Chelsea June Tutera,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4330 Wornall Rd Ste 50, Kansas City, MO 64111
Phone: 816-931-3312    Fax: 816-531-9862
Maurice Phillip Flemming, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3801 Dr Martin Luther King Jr Blvd, Kansas City, MO 64130
Phone: 816-922-7645    Fax: 816-922-7306

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.