Derek Whalen, PA-C - Medicare Physician Assistant in Waxhaw, NC

Derek Whalen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Waxhaw, North Carolina. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wellspan Medical Group and his current practice location is 1621 Providence Rd S Ste 370, Waxhaw, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 520-7089.

Derek Whalen is licensed to practice in Pennsylvania (license number MA061728) 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 1215545934.

Contact Information

Derek Whalen, PA-C
1621 Providence Rd S Ste 370,
Waxhaw, NC 28173-8331
(704) 520-7089
(704) 520-7099

Map and Direction




Provider's Profile

Full NameDerek Whalen
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location1621 Providence Rd S Ste 370, Waxhaw, North Carolina
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:
  • Derek Whalen graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1215545934
  • Provider Enumeration Date: 07/20/2020
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537585880
  • Enrollment ID: I20200817002905

Medical Identifiers

Medical identifiers for Derek Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215545934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant MAO61728 (Pennsylvania)Secondary
363AM0700XPhysician Assistant - Medical MA061728 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellspan Vna Home CareYork, PAHome health agency
Gettysburg HospitalGettysburg, PAHospital
Waynesboro HospitalWaynesboro, PAHospital
Chambersburg HospitalChambersburg, PAHospital
York HospitalYork, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151946

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. Derek Whalen 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
Derek Whalen, PA-C
4705 University Dr Bldg 700,
Durham, NC 27707-3489

Ph: (919) 237-1337
Derek Whalen, PA-C
1621 Providence Rd S Ste 370,
Waxhaw, NC 28173-8331

Ph: (704) 520-7089

Reviews and Comments


Physician Assistant Nurses in Waxhaw, NC

Lea Maria Holevas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 10033 Strike The Gold Ln, Waxhaw, NC 28173
Phone: 704-989-4760    
Nikki Torres,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1029 Brunswick Way, Waxhaw, NC 28173
Phone: 704-840-9793    
Mr. Andrew Kirby Gustavson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173
Phone: 704-384-8640    Fax: 704-384-8650
Kimberly Renee Gordon, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173
Phone: 704-316-1650    Fax: 704-316-1651
Brian John Devlin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1530 Providence Rd S, Waxhaw, NC 28173
Phone: 704-627-8365    Fax: 704-627-8366
Jennifer Lynn Gonzales, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173
Phone: 704-243-2254    

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.