Marissa Ann Whitehead, DME in Columbia, SC - Medicare Dentist Provider

Marissa Ann Whitehead, DME is a medicare enrolled "Dentist - General Practice" provider in Columbia, South Carolina. Her current practice location is 10 Medical Park, Palmetto Health Richland - Dental Educ, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 434-6567.

Marissa Ann Whitehead is licensed to practice in South Carolina (license number 7134) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033478060.

Contact Information

	Marissa Ann Whitehead, DME
	10 Medical Park, Palmetto Health Richland - Dental Educ, Columbia, SC 29203
	(803) 434-6567
	(803) 434-6299

Healthcare Provider's Profile

Full Name	Marissa Ann Whitehead
Gender	Female
Speciality	Dentist - General Practice
Location	10 Medical Park, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033478060
Provider Enumeration Date: 05/11/2012
Last Update Date: 05/11/2012

Medicare PECOS Information:

PECOS PAC ID: 8325343353
Enrollment ID: I20160229001631

Medical Identifiers

Medical identifiers for Marissa Ann Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033478060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7134 (South Carolina)	Primary

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. Marissa Ann 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 Address	Practice Location Address
Marissa Ann Whitehead, DME 10 Medical Park, Palmetto Health Richland - Dental Educ, Columbia, SC 29203 Ph: (803) 434-6567	Marissa Ann Whitehead, DME 10 Medical Park, Palmetto Health Richland - Dental Educ, Columbia, SC 29203 Ph: (803) 434-6567

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Dentist in Columbia, SC

Dr. Christopher Robnett, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brickyard Rd, Columbia, SC 29223 Phone: 803-736-1024 Fax: 803-699-3284
Katelyn Nevitt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 W Killian Rd, Columbia, SC 29203 Phone: 803-814-0102
Dr. Deidre Berger Crockett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5251 Forest Dr, Columbia, SC 29206 Phone: 803-787-9793 Fax: 803-738-0300
Dr. Howard Stone Denny Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5211 N Trenholm Rd, Columbia, SC 29206 Phone: 803-782-0965 Fax: 803-782-3404
Me'chell Littatta James, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3000 Two Notch Rd, Columbia, SC 29204 Phone: 803-691-9930 Fax: 803-691-9322
Dr. Sarah Anne H Knowlton, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3731 Forest Dr, Columbia, SC 29204 Phone: 803-782-8786
Dr. Robert H. Ellis Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8905 Two Notch Rd, Columbia, SC 29223 Phone: 803-788-9593 Fax: 803-788-3123

Marissa Ann Whitehead, DME - Medicare Dentist in Columbia, SC