Brian White, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Decaturville, Tennessee. He went to Indiana University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mental Health Centers And Clinics Of Tennessee and 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 | Clinical Social Worker |
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Experience | 31 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. |
Medical Education and Training:
- Brian White attended and graduated from Indiana University School Of Medicine in 1993
NPI Data:
- NPI Number: 1821106725
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 05/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 6901939131
- Enrollment ID: I20100809000407
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 |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mental Health Centers And Clinics Of Tennessee | 3678475621 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian White allows following entities to bill medicare on his behalf.
Entity Name | Mental Health Centers & Clinics Of Tennessee |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255442794 PECOS PAC ID: 3678475621 Enrollment ID: O20040121001005 |
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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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