Derek Lee White, FNP-C in Monticello, AR - Medicare Nurse Practitioner

Derek Lee White, FNP-C is a medicare enrolled "Nurse Practitioner" in Monticello, Arkansas. His current practice location is 385 Old Troy Rd, Monticello, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 723-3513.

Derek Lee White is licensed to practice in Arkansas (license number A005387) 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 1992215354.

Contact Information

	Derek Lee White, FNP-C
	385 Old Troy Rd, Monticello, AR 71655-9181
	(870) 723-3513
	Not Available

Map and Direction

Provider's Profile

Full Name	Derek Lee White
Gender	Male
Speciality	Nurse Practitioner
Location	385 Old Troy Rd, Monticello, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992215354
Provider Enumeration Date: 10/11/2017
Last Update Date: 10/11/2017

Medicare PECOS Information:

PECOS PAC ID: 6901163229
Enrollment ID: I20171121003236

Medical Identifiers

Medical identifiers for Derek Lee White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992215354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005387 (Arkansas)	Secondary
363L00000X	Nurse Practitioner	A005387 (Arkansas)	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. Derek Lee White allows following entities to bill medicare on his behalf.

Entity Name	Delta Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295767689 PECOS PAC ID: 1658262241 Enrollment ID: O20040323000890

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. Derek Lee 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
Derek Lee White, FNP-C 385 Old Troy Rd, Monticello, AR 71655-9181 Ph: (870) 723-3513	Derek Lee White, FNP-C 385 Old Troy Rd, Monticello, AR 71655-9181 Ph: (870) 723-3513

Reviews and Comments

Nurse Practitioner Nurses in Monticello, AR

Leah Olivia Ross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 940 Old Warren Road, Monticello, AR 71655 Phone: 870-377-3050
Cassidy Jo Gavin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
April Brandy Glasscock, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 766 Hl Ross Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
William Joshua Hunter, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 766 H L Ross Dr, Monticello, AR 71655 Phone: 870-412-4302 Fax: 870-412-4178
Jenny Alexis Blagg, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Jordan Dr, Monticello, AR 71655 Phone: 870-460-9001 Fax: 870-412-4575
Mrs. Leia Dawn O'fallon, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
Hannah A Hilton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383

Derek Lee White, FNP-C - Medicare Nurse Practitioner in Monticello, AR