Dr Fred Ashley White, DDS is a medicare enrolled "Dentist" provider in Hawthorne, Florida. His current practice location is
6605 Se 221st St, Hawthorne, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 481-2741.
Dr Fred Ashley White is licensed to practice in Florida (license number DN12468) 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 1073651436.
Healthcare Provider's Profile
Full Name | Dr Fred Ashley White |
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Gender | Male |
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Speciality | Dentist |
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Location | 6605 Se 221st St, Hawthorne, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073651436
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 10/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204134612
- Enrollment ID: I20160419001773
Medical Identifiers
Medical identifiers for Dr Fred Ashley White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073651436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN12468 (Florida) | 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. Dr Fred Ashley 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 Fred Ashley White, DDS Po Box 10, Hawthorne, FL 32640-0010 Ph: (352) 481-2741 | Dr Fred Ashley White, DDS 6605 Se 221st St, Hawthorne, FL 32640-3815 Ph: (352) 481-2741 |
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