| John Whittaker Md Llc | |
|
1035 Ocean Hwy Pocomoke City MD 21851-3052 | |
| (410) 957-7071 | |
| (410) 297-7942 |
| Full Name | John Whittaker Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1035 Ocean Hwy, Pocomoke City, Maryland |
| Authorized Official Name and Position | John David Whittaker (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4109577071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Whittaker Md Llc 1035 Ocean Hwy Pocomoke City MD 21851-3052 Ph: (443) 223-3029 | John Whittaker Md Llc 1035 Ocean Hwy Pocomoke City MD 21851-3052 Ph: (410) 957-7071 |
| NPI Number | 1538357595 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 1153469655 |
|---|---|
| Medicare Enrollment ID | O20091103000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538357595 | NPI | - | NPPES |
| 016280900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0053262 (Maryland) | Primary |
| Provider Name | John D Whittaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548220692 PECOS PAC ID: 2264579853 Enrollment ID: I20091030000556 |
Tidalhealth Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 10th St Ste 101, Pocomoke City, MD 21851 Phone: 410-912-6167 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455 | |
Everest Medical Center, P. A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1604 Market St, Pocomoke City, MD 21851 Phone: 410-957-9488 Fax: 410-957-9680 | |
Blue Heron Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 10th St, Ste 101, Pocomoke City, MD 21851 Phone: 410-957-3005 Fax: 410-957-0550 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1817 Old Virginia Rd, Pocomoke City, MD 21851 Phone: 410-651-4040 Fax: 888-843-8455 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 10th St, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 |