Whitley Weatherford, is a medicare enrolled "Nurse Practitioner - Family" in Scranton, South Carolina. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pruitthealth Hospice Inc and her current practice location is
288 Anderson Bridge Rd, Scranton, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 373-0554.
Whitley Weatherford is licensed to practice in South Carolina (license number 22724) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073073532.
Provider's Profile
| Full Name | Whitley Weatherford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 288 Anderson Bridge Rd, Scranton, South Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Whitley Weatherford graduated from nursing school in 2018
NPI Data:
- NPI Number: 1073073532
- Provider Enumeration Date: 03/21/2019
- Last Update Date: 03/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123456829
- Enrollment ID: I20200311001940
Medical Identifiers
Medical identifiers for Whitley Weatherford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073073532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 22724 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pruitthealth Hospice Inc | 2264344217 | 26 |
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. Whitley Weatherford allows following entities to bill medicare on her behalf.
| Entity Name | Pruitthealth Hospice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174878342
PECOS PAC ID: 2264344217
Enrollment ID: O20221214002911 |
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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. Whitley Weatherford 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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Whitley Weatherford,
288 Anderson Bridge Rd,
Scranton, SC 29591-5002
Ph: (843) 373-0554 | Whitley Weatherford,
288 Anderson Bridge Rd,
Scranton, SC 29591-5002
Ph: (843) 373-0554 |
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