Ms Carmen Phillips White, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Dallas, Texas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
503 Main St Ste C, Lake Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 535-5296.
Ms Carmen Phillips White is licensed to practice in Texas (license number AP116632) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689831562.
Provider's Profile
| Full Name | Ms Carmen Phillips White |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 503 Main St Ste C, Lake Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Carmen Phillips White graduated from nursing school in 2008
NPI Data:
- NPI Number: 1689831562
- Provider Enumeration Date: 05/19/2008
- Last Update Date: 06/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 2567625122
- Enrollment ID: I20120517000309
Medical Identifiers
Medical identifiers for Ms Carmen Phillips White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689831562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 687867 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP116632 (Texas) | 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. Ms Carmen Phillips White allows following entities to bill medicare on her behalf.
| Entity Name | Lake Dallas Family Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871158907
PECOS PAC ID: 3274863394
Enrollment ID: O20191002001957 |
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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. Ms Carmen Phillips 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 |
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Ms Carmen Phillips White, FNP-BC
503 Main St Ste C,
Lake Dallas, TX 75065-2878
Ph: (940) 535-5296 | Ms Carmen Phillips White, FNP-BC
503 Main St Ste C,
Lake Dallas, TX 75065-2878
Ph: (940) 535-5296 |
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