Dr Keith Anthony White, MD in Bristol, TN

Dr Keith Anthony White, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Bristol, Tennessee. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Blue Ridge Medical Management Corporation, Blue Ridge Medical Management Corporation and his current practice location is 1 Medical Park Blvd Fl 5, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 844-1121.

Dr Keith Anthony White is licensed to practice in Virginia (license number 010125819) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558620278.

Contact Information

	Dr Keith Anthony White, MD
	1 Medical Park Blvd Fl 5, Bristol, TN 37620-7430
	(423) 844-1121
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith Anthony White
Gender	Male
Speciality	Psychiatry
Experience	12 Years
Location	1 Medical Park Blvd Fl 5, Bristol, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Keith Anthony White graduated from medical school in 2012

NPI Data:

NPI Number: 1558620278
Provider Enumeration Date: 05/15/2012
Last Update Date: 07/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5991002453
Enrollment ID: I20191002001276

Medical Identifiers

Medical identifiers for Dr Keith Anthony White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558620278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	010125819 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Medical Management Corporation	9739099441	280
Blue Ridge Medical Management Corporation	9739099441	280

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 Keith Anthony White allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336

Entity Name	Revida Recovery Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013483486 PECOS PAC ID: 1153657473 Enrollment ID: O20190904001928

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 Keith Anthony 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 Keith Anthony White, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Dr Keith Anthony White, MD 1 Medical Park Blvd Fl 5, Bristol, TN 37620-7430 Ph: (423) 844-1121

Reviews and Comments

Psychiatry & Neurology Doctors in Bristol, TN

Steven Wesley Morgan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3183 W State St, Suite 1201, Bristol, TN 37620 Phone: 423-764-0987 Fax: 423-652-2512
David Albert Brenner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Dr. George Harold Naramore, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 26 Midway Street, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582
Dr. Howard Leftin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121
Shawn Keith Nelson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3183 W State St, Suite 1201, Bristol, TN 37620 Phone: 423-764-0987 Fax: 423-652-2512
Douglas Paul Williams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3183 W State St, Suite 1201, Bristol, TN 37620 Phone: 423-764-1987 Fax: 423-652-2512

Dr Keith Anthony White, MD - Medicare Psychiatry in Bristol, TN