Mark A Whitehead, PA-C is a medicare enrolled "Pediatrics" in Columbia, Tennessee. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice One Stop Medical Llc and his current practice location is
1222 Trotwood Ave., Ste 108, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 388-8965.
Mark A Whitehead is licensed to practice in Tennessee (license number PA0000001531) 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 1235326059.
Provider's Profile
| Full Name | Mark A Whitehead |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 1222 Trotwood Ave., Columbia, Tennessee |
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| Accepts Medicare Assignments | Yes. He 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:
- Mark A Whitehead graduated from nursing school in 2007
NPI Data:
- NPI Number: 1235326059
- Provider Enumeration Date: 09/25/2007
- Last Update Date: 02/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406945609
- Enrollment ID: I20071210000648
Medical Identifiers
Medical identifiers for Mark A Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235326059 | NPI | - | NPPES |
| 1501347 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1531 (Tennessee) | Secondary |
| 208000000X | Pediatrics | PA0000001531 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| One Stop Medical Llc | 1850439332 | 20 |
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. Mark A 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 |
|---|
Mark A Whitehead, PA-C
326 N Locust Ave, Ste B,
Lawrenceburg, TN 38464-3516
Ph: (931) 762-9797 | Mark A Whitehead, PA-C
1222 Trotwood Ave., Ste 108,
Columbia, TN 38401
Ph: (931) 388-8965 |
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