Jennifer Lynne Whaley is a Physician Assistant in the DALLAS area. Jennifer Lynne Whaley primary office location is at 1441 N BECKLEY AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1790009173 and the information was updated approximately 11 years ago.
Jennifer Lynne Whaley is affiliated with one medical group in the DALLAS area, PRIMARY HEALTH PHYSICIANS PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
License Number | State |
---|---|
PA06389 | TX |
Type/Issuer | Identifier | State |
---|---|---|
MEDICAID | 291528204 | TX |
Taxonomy | State | Primary? |
---|---|---|
Physician Assistant - Taxonomy Code 363A00000X | TX | Y |
Physician Assistant (Medical) - Taxonomy Code 363AM0700X | TX | N |
Participates in PECOS: | YES |
PECOS Individual Enrollment ID: | I20101109000813 |
PECOS Individual PAC ID: | 7719172329 |
Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
Eligible to order/refer Durable Medical Equipment (DME) | Yes |
Eligible to order/refer Home Health Agency (HHA) | Yes |
Eligible to order/refer Power Mobility Devices (PMD) | Yes |