Richard S White Iii, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lavonia, Georgia. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice St. Mary's Medical Group, Inc. and his current practice location is
355 Clear Creek Pkwy Ste 1003, Lavonia, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 356-0780.
Richard S White Iii is licensed to practice in Georgia (license number 35788) 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 1275528325.
Physician's Profile
| Full Name | Richard S White Iii |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 32 Years |
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| Location | 355 Clear Creek Pkwy Ste 1003, Lavonia, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- Richard S White Iii graduated from medical school in 1992
NPI Data:
- NPI Number: 1275528325
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496944779
- Enrollment ID: I20110118001352
Medical Identifiers
Medical identifiers for Richard S White Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275528325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35788 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St. Mary's Medical Group, Inc. | 7113098393 | 106 |
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. Richard S White Iii allows following entities to bill medicare on his behalf.
| Entity Name | St. Mary's Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376711333
PECOS PAC ID: 7113098393
Enrollment ID: O20080616000388 |
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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. Richard S White Iii 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 |
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Richard S White Iii, MD
Po Box 48089,
Athens, GA 30604-8089
Ph: (706) 389-3740 | Richard S White Iii, MD
355 Clear Creek Pkwy Ste 1003,
Lavonia, GA 30553-4271
Ph: (706) 356-0780 |
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