Mr Broc Codi White, MD in Lander, WY - Medicare Family Practice

Mr Broc Codi White, MD is a medicare enrolled "Family Medicine" physician in Lander, Wyoming. He went to Saint Louis University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lander Medical Clinic Pc and his current practice location is 745 Buena Vista Dr, Lander, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 332-2941.

Mr Broc Codi White is licensed to practice in Wyoming (license number 10524A) 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 1073856225.

Contact Information

	Mr Broc Codi White, MD
	745 Buena Vista Dr, Lander, WY 82520-3431
	(307) 332-2941
	(307) 332-1920

Map and Direction

Physician's Profile

Full Name	Mr Broc Codi White
Gender	Male
Speciality	Family Practice
Experience	11 Years
Location	745 Buena Vista Dr, Lander, Wyoming
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:

Mr Broc Codi White attended and graduated from Saint Louis University School Of Medicine in 2013

NPI Data:

NPI Number: 1073856225
Provider Enumeration Date: 04/05/2013
Last Update Date: 06/13/2016

Medicare PECOS Information:

PECOS PAC ID: 9133341886
Enrollment ID: I20160722002444

Medical Identifiers

Medical identifiers for Mr Broc Codi White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073856225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	10524A (Wyoming)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frontier Home Health And Hospice	Lander, WY	Home health agency
Sagewest Health Care	Riverton, WY	Hospital
Westward Heights Care Center	Lander, WY	Nursing home
Wind River Rehabilitaton And Wellness	Riverton, WY	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lander Medical Clinic Pc	1355323940	22

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. Mr Broc Codi White allows following entities to bill medicare on his behalf.

Entity Name	Lander Valley Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810

Entity Name	Lander Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932299690 PECOS PAC ID: 1355323940 Enrollment ID: O20040607000680

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. Mr Broc Codi 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
Mr Broc Codi White, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941	Mr Broc Codi White, MD 745 Buena Vista Dr, Lander, WY 82520-3431 Ph: (307) 332-2941

Reviews and Comments

Family Medicine Doctors in Lander, WY

Dr. Demar D Hill, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920
John C Klinkenborg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 634 S 3rd St, Lander, WY 82520 Phone: 307-349-3149 Fax: 307-332-7300
Troy R Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2240 N 2nd St, Lander, WY 82520 Phone: 307-332-0910 Fax: 307-332-3203
Dr. Kacie Mckenna Gallo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920
Dr. Tabitha Marie Shaw, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8195 Highway 789, Lander, WY 82520 Phone: 307-332-0206 Fax: 307-332-0479
Dr. Phillip Roy Gilbertson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8204 Wyoming Hwy 789, Lander, WY 82520 Phone: 307-335-6716 Fax: 307-335-6991

Mr Broc Codi White, MD - Medicare Family Practice in Lander, WY