Keith Allen White, MD - Medicare Family Medicine in Independence, OR

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Keith Allen White, MD is a medicare enrolled "Family Medicine" physician in Independence, Oregon. His current practice location is 1430 Monmouth St, Independence, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 838-1133.

Keith Allen White is licensed to practice in Oregon (license number MD10976) 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 1407959422.

Contact Information

Keith Allen White, MD
1430 Monmouth St,
Independence, OR 97351
(503) 838-1133
(503) 838-5138

Map and Direction




Physician's Profile

Full NameKeith Allen White
GenderMale
SpecialityFamily Medicine
Location1430 Monmouth St, Independence, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407959422
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 04/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709774961
  • Enrollment ID: I20040309000491

Medical Identifiers

Medical identifiers for Keith Allen White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407959422NPI-NPPES
26934-0MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD10976 (Oregon)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. Keith Allen White allows following entities to bill medicare on his behalf.
Entity NameVirginia Garcia Memorial Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679528012
PECOS PAC ID: 7113823881
Enrollment ID: O20031211000992
Entity NameSilverton Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172
Entity NameAlbany General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750091021
PECOS PAC ID: 3274908819
Enrollment ID: O20230412001327

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. Keith Allen 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 AddressPractice Location Address
Keith Allen White, MD
Po Box 6149,
Aloha, OR 97007-0149

Ph: (503) 352-8657		Keith Allen White, MD
1430 Monmouth St,
Independence, OR 97351

Ph: (503) 838-1133

Reviews and Comments


Family Medicine Doctors in Independence, OR

Dr. Mary Susanne Placek, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1430 Monmouth St, Independence, OR 97351
Phone: 503-838-1133    Fax: 503-838-5138

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.