Jessica E White, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Park Ridge, Illinois. Her current practice location is
1775 Dempster St, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 723-2210.
Jessica E White is licensed to practice in Illinois (license number 209.006937) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326224338.
Physician's Profile
Full Name | Jessica E White |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1775 Dempster St, Park Ridge, Illinois |
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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: 1326224338
- Provider Enumeration Date: 01/21/2008
- Last Update Date: 05/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608950076
- Enrollment ID: I20080222000584
Medical Identifiers
Medical identifiers for Jessica E White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326224338 | NPI | - | NPPES |
01623422 | Other | | BCBS ID IL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 209006937 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.006937 (Illinois) | 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. Jessica E White allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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Entity Name | Lake Anesthesia Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528260635 PECOS PAC ID: 9830287416 Enrollment ID: O20071115000086 |
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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. Jessica E 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 |
Jessica E White, CRNA 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Jessica E White, CRNA 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-2210 |
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