Mrs Mattie White, MD in Saint Louis, MO

Mrs Mattie White, MD is a Family Medicine physician based in Saint Louis, Missouri. Mrs Mattie White is licensed to practice in Missouri (license number 2008014947) and her current practice location is 3197 Portis Ave, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (618) 713-3847.

NPI number for Mrs Mattie White is 1316912892 and her current mailing address is 3197 Portis Ave, Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316912892.

Contact Information

	Mrs Mattie White, MD
	3197 Portis Ave, Saint Louis, MO 63116-2023
	(618) 713-3847
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Mattie White
Gender	Female
Speciality	Family Medicine
Location	3197 Portis Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1316912892
Provider Enumeration Date: 02/20/2006
Last Update Date: 10/17/2017

Medical Identifiers

Medical identifiers for Mrs Mattie White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316912892	NPI	-	NPPES
1316912892	Medicaid	MO
CB3700	Other	IL	RAILROAD GROUP NUMBER
659580	Other	IL	MEDICARE GROUP
P00189155	Other	IL	RAILROAD MEDICARE
K04489	Other	IL	UMWA PIN
10007459	Other	IL	BCBS GROUP NUMBER
036103546	Medicaid	IL
460661	Other	IL	HEALTHLINK PROV NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2008014947 (Missouri)	Primary
207Q00000X	Family Medicine	036103546 (Illinois)	Secondary

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. Mrs Mattie White is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Mattie White, MD 3197 Portis Ave, Saint Louis, MO 63116-2023 Ph: () -	Mrs Mattie White, MD 3197 Portis Ave, Saint Louis, MO 63116-2023 Ph: (618) 713-3847

Reviews and Comments

Family Medicine Doctors in Saint Louis, MO

Alexander Keenan Holbrook, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010
Amy Elizabeth Roberts, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8888 Ladue Rd Ste 210, Saint Louis, MO 63124 Phone: 314-996-5900 Fax: 314-995-5910
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731

Mrs Mattie White, MD - Family Medicine in Saint Louis, MO