Janis J Whitehead, RN, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Pomeroy, Washington. Her current practice location is
66 N 6th St, Pomeroy, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 843-1591.
Janis J Whitehead is licensed to practice in Idaho (license number 56229) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316930795.
Provider's Profile
| Full Name | Janis J Whitehead |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Primary Care |
|---|
| Location | 66 N 6th St, Pomeroy, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316930795
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981742491
- Enrollment ID: I20160512000909
Medical Identifiers
Medical identifiers for Janis J Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316930795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 209001099 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | AP60594743 (Washington) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 56229 (Idaho) | Primary |
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. Janis J Whitehead allows following entities to bill medicare on her behalf.
| Entity Name | Daiya Healthcare Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20190501001702 |
|---|
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. Janis J Whitehead 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 |
Janis J Whitehead, RN, FNP 1808 Wheatlands Ave, Lewiston, ID 83501-9407 Ph: (309) 252-1084 | Janis J Whitehead, RN, FNP 66 N 6th St, Pomeroy, WA 99347-9705 Ph: (509) 843-1591 |
Reviews and Comments