Sean Rae White, MD | |
501 W Pioneer Ave, Montesano, WA 98563-4323 | |
(360) 637-8108 | |
(360) 637-8709 |
Full Name | Sean Rae White |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 501 W Pioneer Ave, Montesano, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720262421 | NPI | - | NPPES |
1689027328 | Other | WA | GROUP NPI |
1912130006 | Other | WA | GROUP NPI |
81719 | Other | AZ | TRAINING PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 81719 (Arizona) | Secondary |
208000000X | Pediatrics | MD60082203 (Washington) | Secondary |
208000000X | Pediatrics | 60082203 (Washington) | Primary |
Entity Name | Sanford Bismarck |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Mailing Address | Practice Location Address |
---|---|
Sean Rae White, MD 501 W Pioneer Ave, Montesano, WA 98563-4323 Ph: (360) 637-8108 | Sean Rae White, MD 501 W Pioneer Ave, Montesano, WA 98563-4323 Ph: (360) 637-8108 |
Dr. Rowena Maderazo Caratao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 E Pioneer Ave, Montesano, WA 98563 Phone: 360-533-4599 Fax: 360-537-6514 | |
Dr. Robert William Schimpf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Schafer Meadows Ln N, Montesano, WA 98563 Phone: 360-401-5356 |