Mr Shelby T White, CNFP - Medicare Family Medicine in Liberty, MS

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Mr Shelby T White, CNFP is a medicare enrolled "Family Medicine" in Liberty, Mississippi. His current practice location is 102 West Freedrom Drive, Liberty, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 657-4326.

Mr Shelby T White is licensed to practice in Mississippi (license number T-4868) 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 1720036890.

Contact Information

Mr Shelby T White, CNFP
102 West Freedrom Drive,
Liberty, MS 39645-0511
(601) 657-4326
(601) 657-8867

Map and Direction




Provider's Profile

Full NameMr Shelby T White
GenderMale
SpecialityFamily Medicine
Location102 West Freedrom Drive, Liberty, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720036890
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638103609
  • Enrollment ID: I20050920001022

Medical Identifiers

Medical identifiers for Mr Shelby T White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720036890NPI-NPPES
08923390MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R861790 (Mississippi)Secondary
207Q00000XFamily Medicine T-4868 (Mississippi)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. Mr Shelby T White allows following entities to bill medicare on his behalf.
Entity NameMedical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609820539
PECOS PAC ID: 9234043712
Enrollment ID: O20031118000855
Entity NameNorth Sunflower Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891705133
PECOS PAC ID: 7618932294
Enrollment ID: O20041123000318
Entity NameKemper Cah, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346546306
PECOS PAC ID: 5991985012
Enrollment ID: O20110622000294

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. Mr Shelby T 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 AddressPractice Location Address
Mr Shelby T White, CNFP
P. O. Box 511,
Liberty, MS 39645-0511

Ph: (601) 657-4326		Mr Shelby T White, CNFP
102 West Freedrom Drive,
Liberty, MS 39645-0511

Ph: (601) 657-4326

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.