Peter R White, MD is a
General Practice physician based in Celina, Ohio. Peter R White is licensed to practice in Ohio (license number 35-072242) and his current practice location is 801 Pro Dr, Ste D1, Celina, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 394-3387.
NPI number for Peter R White is 1215984661 and his current mailing address is 200 Saint Clair Ave, Jtdm Family Practices Llc, Saint Marys, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215984661.
Physician's Profile
| Full Name | Peter R White |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
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| Location | 801 Pro Dr, Celina, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215984661
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 05/01/2014
Medical Identifiers
Medical identifiers for Peter R White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215984661 | NPI | - | NPPES |
| 1942630348 | Other | OH | GROUP NPI- GRAND LAKE FAMILY & PEDIATRICS |
| H280560 | Other | OH | MEDICARE INDIVIDUAL PTAN |
| 9934723 | Other | OH | MEDICARE GROUP PTAN |
| 2016204 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 35-072242 (Ohio) | Primary |
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. Peter R 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 |
|---|
Peter R White, MD
200 Saint Clair Ave, Jtdm Family Practices Llc,
Saint Marys, OH 45885-2400
Ph: (419) 394-3387 | Peter R White, MD
801 Pro Dr, Ste D1,
Celina, OH 45822-3307
Ph: (419) 394-3387 |
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