Trystan Janel White, is a medicare enrolled "Midwife" in Chattanooga, Tennessee. Her current practice location is
1651 Gunbarrel Rd Ste 201, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 899-9133.
Trystan Janel White is licensed to practice in Tennessee (license number 29625) 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 1720652019.
Provider's Profile
| Full Name | Trystan Janel White |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 1651 Gunbarrel Rd Ste 201, Chattanooga, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720652019
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113329392
- Enrollment ID: I20210709002611
Medical Identifiers
Medical identifiers for Trystan Janel White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720652019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 29625 (Tennessee) | Secondary |
| 176B00000X | Midwife | 29625 (Tennessee) | 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. Trystan Janel White allows following entities to bill medicare on her behalf.
| Entity Name | Galen Medical Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346250057
PECOS PAC ID: 2668377391
Enrollment ID: O20031204001027 |
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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. Trystan Janel 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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Trystan Janel White,
4976 Alpha Ln,
Hixson, TN 37343-5470
Ph: (423) 308-0280 | Trystan Janel White,
1651 Gunbarrel Rd Ste 201,
Chattanooga, TN 37421-3291
Ph: (423) 899-9133 |
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