Jimmy A White, CRNA in Shreveport, LA - Medicare Nurse Anesthetist, Certified Registered

Jimmy A White, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. His current practice location is 3217 Mabel St, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 631-9121.

Jimmy A White is licensed to practice in Louisiana (license number APO4661) 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 1548212889.

Contact Information

	Jimmy A White, CRNA
	3217 Mabel St, Shreveport, LA 71103-4022
	(318) 631-9121
	(318) 631-9126

Map and Direction

Provider's Profile

Full Name	Jimmy A White
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3217 Mabel St, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548212889
Provider Enumeration Date: 05/16/2006
Last Update Date: 03/29/2010

Medicare PECOS Information:

PECOS PAC ID: 3870522923
Enrollment ID: I20121207000350

Medical Identifiers

Medical identifiers for Jimmy A White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548212889	NPI	-	NPPES
1624250	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APO4661 (Louisiana)	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. Jimmy A White allows following entities to bill medicare on his behalf.

Entity Name	Texoma Anesthesia P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063798148 PECOS PAC ID: 1759558547 Enrollment ID: O20120119000162

Entity Name	Endo Sedation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221

Entity Name	Psa Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477828028 PECOS PAC ID: 2466618673 Enrollment ID: O20120716000229

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. Jimmy A 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
Jimmy A White, CRNA Po Box 37046, Shreveport, LA 71133-7046 Ph: (318) 631-9121	Jimmy A White, CRNA 3217 Mabel St, Shreveport, LA 71103-4022 Ph: (318) 631-9121

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

Billy B Miller Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000
Ms. Lisa Nicole Kellogg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000
Kurvis Antione Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Carrollton Ave, Shreveport, LA 71105 Phone: 318-573-0604
Brian House, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Benjamin R. Wisenbaker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
Michael Liles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000
Kerri Annette Mullone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Jimmy A White, CRNA - Medicare Nurse Anesthetist, Certified Registered in Shreveport, LA