Mayisha White-dunham, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Clemmons, North Carolina. Her current practice location is
170 Whitmore Cove Ct, Clemmons, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 258-0480.
Mayisha White-dunham is licensed to practice in Georgia (license number 90862) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588863161.
Physician's Profile
Full Name | Mayisha White-dunham |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 170 Whitmore Cove Ct, Clemmons, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mayisha White-dunham attended and graduated from in
NPI Data:
- NPI Number: 1588863161
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 01/28/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mayisha White-dunham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588863161 | NPI | - | NPPES |
5910806 | Medicaid | NC | |
P00810246 | Other | | MAYISHA DUNHAM PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0401X | Internal Medicine - Addiction Medicine | 2008-00186 (North Carolina) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 2008-00186 (North Carolina) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 90862 (Georgia) | 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. Mayisha White-dunham 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 |
Mayisha White-dunham, MD 170 Whitmore Cove Ct, Clemmons, NC 27012-8883 Ph: (252) 258-0480 | Mayisha White-dunham, MD 170 Whitmore Cove Ct, Clemmons, NC 27012-8883 Ph: (252) 258-0480 |
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