William Leslie White, MD is a medicare enrolled "Surgery" physician in Douglas, Wyoming. His current practice location is
111 S 5th St, Douglas, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 358-2122.
William Leslie White is licensed to practice in Wyoming (license number 7283A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457461774.
Physician's Profile
Full Name | William Leslie White |
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Gender | Male |
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Speciality | Surgery |
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Location | 111 S 5th St, Douglas, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457461774
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214952282
- Enrollment ID: I20051008000194
Medical Identifiers
Medical identifiers for William Leslie White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457461774 | NPI | - | NPPES |
313803 | Other | WY | BCBS OF WYOMING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 7283A (Wyoming) | Primary |
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. William Leslie White allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital Of Converse County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
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Entity Name | Memorial Hospital Of Converse County |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1326085408 PECOS PAC ID: 2264340843 Enrollment ID: O20070815000252 |
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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. William Leslie 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 |
William Leslie White, MD 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-2122 | William Leslie White, MD 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-2122 |
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