Dr Charles Wesley White Jr, MD - Medicare Family Medicine in Jackson, TN

Dr Charles Wesley White Jr, MD is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. His current practice location is 180 Old Hickory Blvd Ste L, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 661-2750.

Dr Charles Wesley White Jr is licensed to practice in Tennessee (license number 21679) 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 1689665614.

Contact Information

Dr Charles Wesley White Jr, MD
180 Old Hickory Blvd Ste L,
Jackson, TN 38305-2500
(731) 661-2750
(731) 664-6817

Map and Direction




Physician's Profile

Full NameDr Charles Wesley White Jr
GenderMale
SpecialityFamily Medicine
Location180 Old Hickory Blvd Ste L, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689665614
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 01/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8224024625
  • Enrollment ID: I20140331002068

Medical Identifiers

Medical identifiers for Dr Charles Wesley White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689665614NPI-NPPES
626001636OtherTNHEALTH PARTNERS
626001636OtherTNUNITED HEALTHCARE
3061622MedicaidTN
3061623MedicaidTN
4057255OtherTNBLUE CROSS BLUE SHIELD
27438OtherTNTLC
152667OtherTNUNISON
JT1042OtherTNCIGNA
626001636OtherTNUSA MANAGED CARE
P00034970OtherTNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 21679 (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. Dr Charles Wesley White Jr 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 AddressPractice Location Address
Dr Charles Wesley White Jr, MD
180 Old Hickory Blvd Ste L,
Jackson, TN 38305-2500

Ph: (731) 661-2750
Dr Charles Wesley White Jr, MD
180 Old Hickory Blvd Ste L,
Jackson, TN 38305-2500

Ph: (731) 661-2750

Reviews and Comments


Family Medicine Doctors in Jackson, TN

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Dr. Ezekiel Oladejo Adetunji, MD
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Kenneth R. Warren, M.D.
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Christopher Reyes Caangay, MD
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Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3755    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.