Samuel C White, MD in Evansville, WI - Medicare Family Practice

Samuel C White, MD is a medicare enrolled "Family Medicine" physician in Evansville, Wisconsin. He went to Medical University Of South Carolina College Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Health System Corporation and his current practice location is 300 Union St, Evansville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 882-5613.

Samuel C White is licensed to practice in Wisconsin (license number 50076) 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 1003953704.

Contact Information

	Samuel C White, MD
	300 Union St, Evansville, WI 53536-1175
	(608) 882-5613
	(608) 882-6339

Map and Direction

Physician's Profile

Full Name	Samuel C White
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	300 Union St, Evansville, Wisconsin
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:

Samuel C White attended and graduated from Medical University Of South Carolina College Of Medicine in 2003

NPI Data:

NPI Number: 1003953704
Provider Enumeration Date: 01/31/2007
Last Update Date: 11/08/2011

Medicare PECOS Information:

PECOS PAC ID: 1456332329
Enrollment ID: I20070514000618

Medical Identifiers

Medical identifiers for Samuel C White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003953704	NPI	-	NPPES
WHITESAM	Other	WI	MERCYCARE INSURANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	50076 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health System Corp	Janesville, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health System Corporation	7416860440	475

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. Samuel C White allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Samuel C 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
Samuel C White, MD 300 Union St, Evansville, WI 53536-1175 Ph: (608) 882-5613	Samuel C White, MD 300 Union St, Evansville, WI 53536-1175 Ph: (608) 882-5613

Samuel C White, MD - Medicare Family Practice in Evansville, WI