Midori Pavielle Starks White, MD in Randallstown, MD

Midori Pavielle Starks White, MD is a medicare enrolled "Surgery" physician in Randallstown, Maryland. Her current practice location is 5401 Old Court Rd, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 521-2200.

Midori Pavielle Starks White is licensed to practice in Maryland (license number D96240) 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 1972189413.

Contact Information

	Midori Pavielle Starks White, MD
	5401 Old Court Rd, Randallstown, MD 21133-5103
	(410) 521-2200
	Not Available

Map and Direction

Physician's Profile

Full Name	Midori Pavielle Starks White
Gender	Female
Speciality	Surgery
Location	5401 Old Court Rd, Randallstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972189413
Provider Enumeration Date: 03/23/2021
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3678976974
Enrollment ID: I20230531003496

Medical Identifiers

Medical identifiers for Midori Pavielle Starks White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972189413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	D96240 (Maryland)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Midori Pavielle Starks White allows following entities to bill medicare on her behalf.

Entity Name	Northwest Hospital Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328

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. Midori Pavielle Starks 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
Midori Pavielle Starks White, MD 1800 Orleans St # 110, Baltimore, MD 21287-0010 Ph: (410) 955-5020	Midori Pavielle Starks White, MD 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 521-2200

Reviews and Comments

Surgery Doctors in Randallstown, MD

Brianne Elizabeth Leaf, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Dr. Varughese Kuruvilla, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5400 Old Court Rd, Suite 208, Randallstown, MD 21133 Phone: 410-561-0737
Dr. Olubode Olufajo, Surgery Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200

Midori Pavielle Starks White, MD - Medicare Surgery in Randallstown, MD