Brandi Alison White, APRN | |
47 Akersville Road, Fountain Run, KY 42133-7910 | |
(270) 434-4857 | |
(270) 434-4957 |
Full Name | Brandi Alison White |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 47 Akersville Road, Fountain Run, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639458326 | NPI | - | NPPES |
000000726435 | Other | KY | ANTHEM |
7100175560 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3007031 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3007031 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Services P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
Entity Name | T J Samson Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
Entity Name | Kentucky Em-i Medical Services Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083869135 PECOS PAC ID: 8325001175 Enrollment ID: O20041111000775 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
---|---|
Brandi Alison White, APRN Po Box 3560, Bowling Green, KY 42102-3560 Ph: (270) 434-4857 | Brandi Alison White, APRN 47 Akersville Road, Fountain Run, KY 42133-7910 Ph: (270) 434-4857 |
Olivia N Gary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9321 Fountain Run Rd, Fountain Run, KY 42133 Phone: 270-579-6954 |