| Elliott Kingman White, | |
|
540 W Sagamore Ave, Clewiston, FL 33440-3514 | |
| (863) 983-5026 | |
| Not Available |
| Full Name | Elliott Kingman White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 540 W Sagamore Ave, Clewiston, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073243218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9116146 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hendry Regional Medical Center | Clewiston, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hendry County Hospital Authority | 8022912435 | 13 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Kingman White, 928 Sawgrass St, Clewiston, FL 33440-0210 Ph: () - | Elliott Kingman White, 540 W Sagamore Ave, Clewiston, FL 33440-3514 Ph: (863) 983-5026 |
Mr. Julio B Lopez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 315 S W C Owens Ave, Clewiston, FL 33440 Phone: 863-983-7813 Fax: 863-983-9604 | |
Barbara Nyce Reesor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 115 S Gloria St, Clewiston, FL 33440 Phone: 863-983-2282 Fax: 863-983-2864 |