Mrs Pandora Lee White, RN CNP in Minneapolis, MN

Mrs Pandora Lee White, RN CNP is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. Her current practice location is 2515 W Broadway Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 354-2629.

Mrs Pandora Lee White is licensed to practice in Minnesota (license number R1127607) 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 1528025624.

Contact Information

	Mrs Pandora Lee White, RN CNP
	2515 W Broadway Ave, Minneapolis, MN 55411-1736
	(612) 354-2629
	(612) 354-2740

Map and Direction

Provider's Profile

Full Name	Mrs Pandora Lee White
Gender	Female
Speciality	Nurse Practitioner
Location	2515 W Broadway Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528025624
Provider Enumeration Date: 05/01/2006
Last Update Date: 12/18/2014

Medicare PECOS Information:

PECOS PAC ID: 6103091376
Enrollment ID: I20111216000369

Medical Identifiers

Medical identifiers for Mrs Pandora Lee White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528025624	NPI	-	NPPES
765523100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R1127607 (Minnesota)	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. Mrs Pandora Lee White allows following entities to bill medicare on her behalf.

Entity Name	Health Empowerment Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831328756 PECOS PAC ID: 7113192386 Enrollment ID: O20111216000340

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 Pandora Lee 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 Pandora Lee White, RN CNP 2515 W Broadway Ave, Minneapolis, MN 55411-1736 Ph: (612) 354-2629	Mrs Pandora Lee White, RN CNP 2515 W Broadway Ave, Minneapolis, MN 55411-1736 Ph: (612) 354-2629

Reviews and Comments

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Mrs Pandora Lee White, RN CNP - Medicare Nurse Practitioner in Minneapolis, MN