Mrs Georgia J White, LPN is a
Licensed Practical Nurse based in Poynette, Wisconsin. Mrs Georgia J White is licensed to practice in Wisconsin (license number 31125-031) and her current practice location is
236 E Tomlinson St, Poynette, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 635-8936.
NPI number for Mrs Georgia J White is 1376524389 and her current mailing address is 236 E Tomlinson St, Poynette, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376524389.
Provider's Profile
Full Name | Mrs Georgia J White |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 236 E Tomlinson St, Poynette, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376524389
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Georgia J White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376524389 | NPI | - | NPPES |
399-30-700 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 31125-031 (Wisconsin) | 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 Georgia J White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Georgia J White, LPN 236 E Tomlinson St, Poynette, WI 53955-8574 Ph: (608) 635-8936 | Mrs Georgia J White, LPN 236 E Tomlinson St, Poynette, WI 53955-8574 Ph: (608) 635-8936 |
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