Brian White, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Decaturville, Tennessee. His current practice location is
259 W Main St, Decaturville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 852-3112.
Brian White is licensed to practice in Tennessee (license number LSW 3864) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821106725.
Healthcare Provider's Profile
| Full Name | Brian White |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 259 W Main St, Decaturville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian White attended and graduated from in
NPI Data:
- NPI Number: 1821106725
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 05/06/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brian White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821106725 | NPI | - | NPPES |
| 4052001 | Other | TN | BCBS PROVIDER NUMBER |
| 3925929 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LSW 3864 (Tennessee) | 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. Brian White 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 |
|---|
Brian White, LCSW
10710 Old Highway 64,
Bolivar, TN 38008-3587
Ph: (731) 658-6113 | Brian White, LCSW
259 W Main St,
Decaturville, TN 38329-8033
Ph: (731) 852-3112 |
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