Jeffery Alan White, DO is a medicare enrolled "Orthopaedic Surgery" physician in Fort Polk, Louisiana. His current practice location is
1585 3rd St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 531-3896.
Jeffery Alan White is licensed to practice in North Carolina (license number 2009-00317) 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 1013113356.
Physician's Profile
Full Name | Jeffery Alan White |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 1585 3rd St, Fort Polk, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013113356
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 04/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597204701
- Enrollment ID: I20240830002164
Medical Identifiers
Medical identifiers for Jeffery Alan White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013113356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 2009-00317 (North Carolina) | 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. Jeffery Alan White allows following entities to bill medicare on his behalf.
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
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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. Jeffery Alan 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 |
Jeffery Alan White, DO 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3896 | Jeffery Alan White, DO 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3896 |
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