Teddy Joe Whitmer, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fillmore, Indiana. His current practice location is
4829 E County Road 375 N, Fillmore, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 246-6560.
Teddy Joe Whitmer is licensed to practice in Indiana (license number 71002142) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053336289.
Provider's Profile
| Full Name | Teddy Joe Whitmer |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4829 E County Road 375 N, Fillmore, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053336289
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597761734
- Enrollment ID: I20061011000782
Medical Identifiers
Medical identifiers for Teddy Joe Whitmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053336289 | NPI | - | NPPES |
| 11564425 | Other | IN | CAQH |
| Q71519 | Other | | UPIN |
| 200885980 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 71002142 (Indiana) | Primary |
| 163W00000X | Registered Nurse | 28128241 (Indiana) | Secondary |
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. Teddy Joe Whitmer allows following entities to bill medicare on his behalf.
| Entity Name | Chiromed Plus Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881007722
PECOS PAC ID: 7416174347
Enrollment ID: O20140815001929 |
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| Entity Name | Access Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831810431
PECOS PAC ID: 1951721802
Enrollment ID: O20220930001534 |
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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. Teddy Joe Whitmer 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 |
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Teddy Joe Whitmer, APRN
4829 E County Road 375 N,
Fillmore, IN 46128-9222
Ph: () - | Teddy Joe Whitmer, APRN
4829 E County Road 375 N,
Fillmore, IN 46128-9222
Ph: (765) 246-6560 |
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