Dr Herbert White Jr, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Dyer, Indiana. His current practice location is
879 Joliet St, #184, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 485-6900.
Dr Herbert White Jr is licensed to practice in Indiana (license number 01037649) 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 1578604567.
Physician's Profile
| Full Name | Dr Herbert White Jr |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 879 Joliet St, Dyer, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578604567
- Provider Enumeration Date: 02/11/2007
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789845975
- Enrollment ID: I20120416000395
Medical Identifiers
Medical identifiers for Dr Herbert White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578604567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 01037649 (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036-073679 (Illinois) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 036-073679 (Illinois) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 01037649 (Indiana) | 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 Herbert White Jr allows following entities to bill medicare on his behalf.
| Entity Name | Eskenazi Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730451063
PECOS PAC ID: 4284546813
Enrollment ID: O20031103000440 |
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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 Herbert 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 Address | Practice Location Address |
|---|
Dr Herbert White Jr, MD
Po Box 185,
Olympia Fields, IL 60461-0185
Ph: (708) 819-0007 | Dr Herbert White Jr, MD
879 Joliet St, #184,
Dyer, IN 46311-1920
Ph: (812) 485-6900 |
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