Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Whitney

Individual provider Physician Assistant · NPI 1588166078

Samuel Whitney is a Physician Assistant in Worcester, Massachusetts. Qualified in 2017, 9 years ago. Practices with Pratt Medical Group Inc, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2018
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 443-7552
Fax: (774) 441-6086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Belmont St, Worcester, MA 01605-2903 — (774) 443-7552

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6434 (MA)

Record details

NPI number1588166078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pratt Medical Group Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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