Mr Tommy Scott Whitehead, PA - Medicare Physician Assistant in Greenwood, SC

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Mr Tommy Scott Whitehead, PA is a medicare enrolled "Physician Assistant" in Greenwood, South Carolina. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Self Medical Group, Self Regional Healthcare Partners, Self Regional Healthcare, Abbeville County Memorial Hospital and his current practice location is 516 Montague Ave, Greenwood, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 223-1468.

Mr Tommy Scott Whitehead is licensed to practice in South Carolina (license number 728) 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 1780770545.

Contact Information

Mr Tommy Scott Whitehead, PA
516 Montague Ave,
Greenwood, SC 29649-1942
(864) 223-1468
Not Available

Map and Direction




Provider's Profile

Full NameMr Tommy Scott Whitehead
GenderMale
SpecialityPhysician Assistant
Experience25 Years
Location516 Montague Ave, Greenwood, South 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:
  • Mr Tommy Scott Whitehead graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1780770545
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 03/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193774412
  • Enrollment ID: I20050113000592

Medical Identifiers

Medical identifiers for Mr Tommy Scott Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780770545NPI-NPPES
0057PAMedicaidSC
AA76245684OtherSCMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 728 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Self Regional HealthcareGreenwood, SCHospital
Edgefield County Healthcare An Affiliate Of Self REdgefield, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Self Medical Group6002953916393
Self Regional Healthcare Partners155760611836
Self Regional Healthcare4082527742159
Abbeville County Memorial Hospital771989150646

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. Mr Tommy Scott Whitehead allows following entities to bill medicare on his behalf.
Entity NameAbbeville County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063449361
PECOS PAC ID: 7719891506
Enrollment ID: O20031117000214
Entity NameCarolina Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306979521
PECOS PAC ID: 5496707804
Enrollment ID: O20050825000437
Entity NameSelf Regional Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326067703
PECOS PAC ID: 4082527742
Enrollment ID: O20051214000767
Entity NameSelf Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982836847
PECOS PAC ID: 6002953916
Enrollment ID: O20091027000071
Entity NameSelf Regional Healthcare Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922582105
PECOS PAC ID: 1557606118
Enrollment ID: O20190129003656
Entity NameNovant Health Urgent Cares LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841026382
PECOS PAC ID: 8628502598
Enrollment ID: O20241114002376

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. Mr Tommy Scott 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 AddressPractice Location Address
Mr Tommy Scott Whitehead, PA
Po Box 749306,
Atlanta, GA 30374-9306

Ph: Not Available		Mr Tommy Scott Whitehead, PA
516 Montague Ave,
Greenwood, SC 29649-1942

Ph: (864) 223-1468

Reviews and Comments


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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.