Michael White Jr, in Detroit, MI - Medicare Nurse Practitioner

Michael White Jr, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Detroit, Michigan. His current practice location is 3100 Broadway St., Suite 400, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 335-2006.

Michael White Jr is licensed to practice in Michigan (license number 4704288194) 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 1518379650.

Contact Information

	Michael White Jr,
	3100 Broadway St., Suite 400, Detroit, MI 48226-2202
	(586) 335-2006
	(586) 279-3886

Map and Direction

Provider's Profile

Full Name	Michael White Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3100 Broadway St., Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518379650
Provider Enumeration Date: 05/23/2014
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1557708773
Enrollment ID: I20240325000540

Medical Identifiers

Medical identifiers for Michael White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518379650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704288194 (Michigan)	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. Michael White Jr allows following entities to bill medicare on his behalf.

Entity Name	Motor City Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689239683 PECOS PAC ID: 0143552927 Enrollment ID: O20191028002586

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. Michael White Jr 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
Michael White Jr, 16134 Collinson Ave, Eastpointe, MI 48021-3651 Ph: (313) 585-3534	Michael White Jr, 3100 Broadway St., Suite 400, Detroit, MI 48226-2202 Ph: (586) 335-2006

Reviews and Comments

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Michael White Jr, - Medicare Nurse Practitioner in Detroit, MI