Zachary Jordan Whitaker, PA - Medicare Physician Assistant in Vidalia, GA

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Zachary Jordan Whitaker, PA is a medicare enrolled "Physician Assistant" in Vidalia, Georgia. His current practice location is 1 Meadows Pkwy, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 535-5555.

Zachary Jordan Whitaker is licensed to practice in Georgia (license number 6460) 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 1750649653.

Contact Information

Zachary Jordan Whitaker, PA
1 Meadows Pkwy,
Vidalia, GA 30474-8759
(912) 535-5555
Not Available

Map and Direction




Provider's Profile

Full NameZachary Jordan Whitaker
GenderMale
SpecialityPhysician Assistant
Location1 Meadows Pkwy, Vidalia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750649653
  • Provider Enumeration Date: 04/27/2012
  • Last Update Date: 05/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820254238
  • Enrollment ID: I20120730000083

Medical Identifiers

Medical identifiers for Zachary Jordan Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750649653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 6460 (Georgia)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. Zachary Jordan Whitaker allows following entities to bill medicare on his behalf.
Entity NameWayne Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982828943
PECOS PAC ID: 6103926241
Enrollment ID: O20070703000148
Entity NameMontgomery Emergency Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861773764
PECOS PAC ID: 5395918387
Enrollment ID: O20111108000598
Entity NameDailey Pediatrics and Family Medicine PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811703655
PECOS PAC ID: 7810414497
Enrollment ID: O20250507001389

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. Zachary Jordan Whitaker 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
Zachary Jordan Whitaker, PA
1056 C.v. Mosley Blvd,
Vidalia, GA 30474

Ph: Not Available		Zachary Jordan Whitaker, PA
1 Meadows Pkwy,
Vidalia, GA 30474-8759

Ph: (912) 535-5555

Reviews and Comments


Physician Assistant Nurses in Vidalia, GA

Mr. James R Payne, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474
Phone: 912-454-7012    Fax: 866-871-8565
Emily Paige Berryhill, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474
Phone: 912-535-5555    
Hunter E Lynn, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3301 E 1st St # A, Vidalia, GA 30474
Phone: 912-537-4411    
Mr. Bartlett Emory Davis, PAC ATC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1707 Meadows Ln, Suite H, Vidalia, GA 30474
Phone: 912-538-0040    Fax: 912-538-8133
Mr. Alex Pierce, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1013 E 1st St, Vidalia, GA 30474
Phone: 912-538-7702    
Dianne S Mixon, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1608 Meadows Ln Ste 1, Vidalia, GA 30474
Phone: 912-537-9488    Fax: 912-537-8951
Robert Lee Arnold, MPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Maple Dr, Vidalia, GA 30474
Phone: 912-537-9851    Fax: 912-537-9843

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.