Mrs Charlene Burrell White, LCSW in Jbsa Lackland, TX

Mrs Charlene Burrell White, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 671-0384.

Mrs Charlene Burrell White is licensed to practice in Texas (license number 34888) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043294259.

Contact Information

	Mrs Charlene Burrell White, LCSW
	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
	(210) 671-0384
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Charlene Burrell White
Gender	Female
Speciality	Social Worker - Clinical
Location	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043294259
Provider Enumeration Date: 12/01/2005
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4385011758
Enrollment ID: I20221028000571

Medical Identifiers

Medical identifiers for Mrs Charlene Burrell White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043294259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34888 (Texas)	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. Mrs Charlene Burrell White allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541

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. Mrs Charlene Burrell 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
Mrs Charlene Burrell White, LCSW 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 671-0384	Mrs Charlene Burrell White, LCSW 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 671-0384

Reviews and Comments

Social Worker in Jbsa Lackland, TX

Kara Lee Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7749
Ms. Autumn Lea Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-221-1996
Mr. Mark Allan Oliver, LISW-CP, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5859
Frances H. Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-671-6665
Mrs. Stephanie Marie Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-221-1660
Mrs. Brittney Theresa Yun, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7361

Mrs Charlene Burrell White, LCSW - Medicare Clinical Social Worker in Jbsa Lackland, TX