Ms Rebecca L White, PMHNP, FNP in Jackson, WY

Ms Rebecca L White, PMHNP, FNP is a medicare enrolled "Nurse Practitioner" in Jackson, Wyoming. Her current practice location is 690 S Hwy 89 Ste 201, Jackson, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 690-4521.

Ms Rebecca L White is licensed to practice in Wyoming (license number 19355.0277) 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 1902903321.

Contact Information

	Ms Rebecca L White, PMHNP, FNP
	690 S Hwy 89 Ste 201, Jackson, WY 83001-8508
	(307) 690-4521
	(949) 695-2562

Map and Direction

Provider's Profile

Full Name	Ms Rebecca L White
Gender	Female
Speciality	Nurse Practitioner
Location	690 S Hwy 89 Ste 201, Jackson, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902903321
Provider Enumeration Date: 09/20/2006
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8628094414
Enrollment ID: I20120724000441

Medical Identifiers

Medical identifiers for Ms Rebecca L White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902903321	NPI	-	NPPES
123446300	Medicaid	WY
807242401	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP-629A (Idaho)	Secondary
363LF0000X	Nurse Practitioner - Family	100917 (Montana)	Secondary
363L00000X	Nurse Practitioner	19355.0277 (Wyoming)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP-100917 (Montana)	Secondary

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 Rebecca L White allows following entities to bill medicare on her behalf.

Entity Name	St Peters Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205025145 PECOS PAC ID: 7911814926 Enrollment ID: O20031204001245

Entity Name	Western Montana Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912079328 PECOS PAC ID: 6507764453 Enrollment ID: O20031230000190

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 Rebecca L 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
Ms Rebecca L White, PMHNP, FNP Po Box 722, Teton Village, WY 83025-0722 Ph: (307) 690-4521	Ms Rebecca L White, PMHNP, FNP 690 S Hwy 89 Ste 201, Jackson, WY 83001-8508 Ph: (307) 690-4521

Reviews and Comments

Nurse Practitioner Nurses in Jackson, WY

Mrs. Lisa E Larson Hoyt, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, 220, Jackson, WY 83001 Phone: 307-733-7222 Fax: 307-733-9720
Laura-lee Berrett, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Broadway Ave Bldg B, Jackson, WY 83001 Phone: 307-739-7449
Mrs. Kimberly Ann Mellick, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 S Hwy 89, Jackson, WY 83001 Phone: 307-739-8999 Fax: 307-739-9222
Mrs. Krista Jo Sgroi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Dr. Hannah Meier, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 580 E Broadway Ave, Jackson, WY 83001 Phone: 802-355-1066
Mary Kathryn White, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway St, Suite 202, Jackson, WY 83001 Phone: 307-733-6520 Fax: 307-733-3216
Caitlin Shea, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 E Broadway Ave Ste 1c, Jackson, WY 83001 Phone: 307-733-4585 Fax: 307-733-4787

Ms Rebecca L White, PMHNP, FNP - Medicare Nurse Practitioner in Jackson, WY