Kimberly Nicole White, DO in Albuquerque, NM

Kimberly Nicole White, DO is a medicare enrolled "Pediatrics" physician in Albuquerque, New Mexico. Her current practice location is 11239 Miravista Pl Se, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (214) 909-2839.

Kimberly Nicole White is licensed to practice in New Mexico (license number DO20220028) 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 1417418302.

Contact Information

	Kimberly Nicole White, DO
	11239 Miravista Pl Se, Albuquerque, NM 87123-5999
	(214) 909-2839
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Nicole White
Gender	Female
Speciality	Pediatrics
Location	11239 Miravista Pl Se, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417418302
Provider Enumeration Date: 03/25/2019
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3476881871
Enrollment ID: I20220808002695

Medical Identifiers

Medical identifiers for Kimberly Nicole White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417418302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DO20220028 (New Mexico)	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. Kimberly Nicole White allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

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. Kimberly Nicole 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
Kimberly Nicole White, DO 11239 Miravista Pl Se, Albuquerque, NM 87123-5999 Ph: (214) 909-2839	Kimberly Nicole White, DO 11239 Miravista Pl Se, Albuquerque, NM 87123-5999 Ph: (214) 909-2839

Reviews and Comments

Pediatrics Doctors in Albuquerque, NM

Janell Fuller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131 Phone: 505-272-2345
Ivana Radovanovic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2211 Lomas Ne Acc 3w, Albuquerque, NM 87131 Phone: 505-272-6632 Fax: 505-272-6620
Lynn Longfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4420 Irving Blvd Nw, Albuquerque, NM 87114 Phone: 505-823-1010 Fax: 505-797-4503
Thomas Rothfeld, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 San Mateo Blvd Se, Pmg San Mateo, Albuquerque, NM 87108 Phone: 505-462-7306 Fax: 505-462-7495
Dr. Leslie Erin Strickler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-5551 Fax: 505-272-6845
Jennifer M Garcia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2001 El Centro Familiar Blvd Sw, Albuquerque, NM 87105 Phone: 505-873-7400 Fax: 505-224-8797
Dr. William B Hawk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 Fax: 505-298-2985

Kimberly Nicole White, DO - Medicare Pediatrics in Albuquerque, NM