Dr Gordon Ellis White Ii, MD - Medicare Military Health Care Provider in Danville, IL

  1. Home
Dr Gordon Ellis White Ii, MD is a medicare enrolled "Military Health Care Provider" physician in Danville, Illinois. His current practice location is 1900 E Main St, Danville, Illinois. You can reach out to his office (for appointments etc.) via phone at (318) 801-4070.

Dr Gordon Ellis White Ii is licensed to practice in Louisiana (license number 025398) 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 1639169485.

Contact Information

Dr Gordon Ellis White Ii, MD
1900 E Main St,
Danville, IL 61832-5100
(318) 801-4070
(318) 554-4807

Map and Direction




Physician's Profile

Full NameDr Gordon Ellis White Ii
GenderMale
SpecialityMilitary Health Care Provider
Location1900 E Main St, Danville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639169485
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 06/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426957317
  • Enrollment ID: I20040108000897

Medical Identifiers

Medical identifiers for Dr Gordon Ellis White Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639169485NPI-NPPES
1423688MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 025398 (Louisiana)Secondary
171000000XMilitary Health Care Provider 025398 (Louisiana)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 Gordon Ellis White Ii allows following entities to bill medicare on his behalf.
Entity NameWest Carroll Health Systems, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386700888
PECOS PAC ID: 5294627774
Enrollment ID: O20040402000229
Entity NameCenla Occupational Medicine Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427399195
PECOS PAC ID: 0143460055
Enrollment ID: O20130717000006
Entity NameCountry Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609825892
PECOS PAC ID: 4082936372
Enrollment ID: O20141121001438

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 Gordon Ellis White Ii 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 Gordon Ellis White Ii, MD
1900 E Main St,
Danville, IL 61832-5100

Ph: (318) 801-4070		Dr Gordon Ellis White Ii, MD
1900 E Main St,
Danville, IL 61832-5100

Ph: (318) 801-4070

Reviews and Comments



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.