Mrs Beverly Dene White, PA-C is a medicare enrolled "Physician Assistant" in Olton, Texas. Her current practice location is
600 Main St., Olton, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 285-2209.
Mrs Beverly Dene White is licensed to practice in Texas (license number PA00190) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417958554.
Provider's Profile
| Full Name | Mrs Beverly Dene White |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 600 Main St., Olton, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417958554
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 02/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 2163319146
- Enrollment ID: I20160226000140
Medical Identifiers
Medical identifiers for Mrs Beverly Dene White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417958554 | NPI | - | NPPES |
| 1032277 | Other | | NCCPA |
| PA00190 | Other | TX | PHYSICIAN ASSISTANT LICEN |
| 8N4306 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00190 (Texas) | Primary |
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. Mrs Beverly Dene 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 |
|---|
Mrs Beverly Dene White, PA-C
Po Box 508, 600 Main Street,
Olton, TX 79064-0508
Ph: (806) 292-2754 | Mrs Beverly Dene White, PA-C
600 Main St.,
Olton, TX 79064-0508
Ph: (806) 285-2209 |
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