Mayisha White-dunham, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Clemmons, North Carolina. She went to Brody School Of Medicine At East Carolina University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice The Emory Clinic, Inc and 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 | Physical Medicine And Rehabilitation |
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| Experience | 20 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. |
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Medical Education and Training:
- Mayisha White-dunham attended and graduated from Brody School Of Medicine At East Carolina University in 2004
NPI Data:
- NPI Number: 1588863161
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 01/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648339382
- Enrollment ID: I20220114001434
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Emory Clinic, Inc | 8820901408 | 2729 |
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. Mayisha White-dunham allows following entities to bill medicare on her behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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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. 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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