Jeremy Shane White, MD in Jackson, MS - Medicare Interventional Cardiology

Jeremy Shane White, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Medical Foundation Of Central Mississippi Inc and his current practice location is 501 Marshall St Ste 104, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 969-6404.

Jeremy Shane White is licensed to practice in Mississippi (license number 29993) 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 1104237007.

Contact Information

	Jeremy Shane White, MD
	501 Marshall St Ste 104, Jackson, MS 39202-1663
	(601) 969-6404
	(601) 973-4541

Map and Direction

Physician's Profile

Full Name	Jeremy Shane White
Gender	Male
Speciality	Interventional Cardiology
Experience	10 Years
Location	501 Marshall St Ste 104, Jackson, Mississippi
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:

Jeremy Shane White attended and graduated from University Of Mississippi School Of Medicine in 2014

NPI Data:

NPI Number: 1104237007
Provider Enumeration Date: 05/13/2014
Last Update Date: 05/27/2022

Medicare PECOS Information:

PECOS PAC ID: 3870887730
Enrollment ID: I20220608003209

Medical Identifiers

Medical identifiers for Jeremy Shane White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104237007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	A169147 (California)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	29993 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Foundation Of Central Mississippi Inc	1153216411	236

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. Jeremy Shane White allows following entities to bill medicare on his behalf.

Entity Name	Medical Foundation Of Central Mississippi Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380

Entity Name	Mississippi Baptist Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467589556 PECOS PAC ID: 9234026600 Enrollment ID: O20110707000181

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. Jeremy Shane 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
Jeremy Shane White, MD 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () -	Jeremy Shane White, MD 501 Marshall St Ste 104, Jackson, MS 39202-1663 Ph: (601) 969-6404

Reviews and Comments

Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415
Jewelian Akbar Baig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645
Jo P Deal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441
Samuel Hammond Love, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 40, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838
Meghan Alford Luter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532
Dr. Taylor Brooke Winstead, MD, PHARMD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000

Jeremy Shane White, MD - Medicare Interventional Cardiology in Jackson, MS