Shanna U White, PA-C is a medicare enrolled "Physician Assistant - Medical" in Odgensburg, New York. Her current practice location is
100 Horwood Place, Odgensburg, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 394-9462.
Shanna U White is licensed to practice in New York (license number 015600) 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 1902060387.
Provider's Profile
Full Name | Shanna U White |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 100 Horwood Place, Odgensburg, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902060387
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759448160
- Enrollment ID: I20141223000355
Medical Identifiers
Medical identifiers for Shanna U White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902060387 | NPI | - | NPPES |
03770858 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 015600 (New York) | 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. Shanna U 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 |
Shanna U White, PA-C 100 Horwood Place, Odgensburg, NY 13669 Ph: (315) 394-9462 | Shanna U White, PA-C 100 Horwood Place, Odgensburg, NY 13669 Ph: (315) 394-9462 |
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