Dr Justin Richard White, DNP,CNP,PMHNP,LCSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Rio Rancho, New Mexico. His current practice location is
4300 Ridgecrest Dr Se, Ste L #910, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 288-3173.
Dr Justin Richard White is licensed to practice in New Mexico (license number CNP-01985) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538307897.
Healthcare Provider's Profile
Full Name | Dr Justin Richard White |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 4300 Ridgecrest Dr Se, Rio Rancho, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538307897
- Provider Enumeration Date: 01/25/2009
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456503218
- Enrollment ID: I20121201000059
Medical Identifiers
Medical identifiers for Dr Justin Richard White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538307897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I-07579 (New Mexico) | Secondary |
163W00000X | Registered Nurse | RN-71946 (New Mexico) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95012483 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP4713 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP-01985 (New Mexico) | Primary |
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. Dr Justin Richard White allows following entities to bill medicare on his behalf.
Entity Name | Neighborhood Outreach Access To Health |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1942518550 PECOS PAC ID: 3577743764 Enrollment ID: O20110204000504 |
---|
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. Dr Justin Richard 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 |
Dr Justin Richard White, DNP,CNP,PMHNP,LCSW 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Dr Justin Richard White, DNP,CNP,PMHNP,LCSW 4300 Ridgecrest Dr Se, Ste L #910, Rio Rancho, NM 87124-5912 Ph: (505) 288-3173 |
Reviews and Comments