Dr Charla Jeanine White, in Manassas, VA - Medicare Psychologist Provider

Dr Charla Jeanine White, is a medicare enrolled "Psychologist - Clinical" provider in Manassas, Virginia. Her current practice location is 9625 Surveyor Ct, Suite 200, Manassas, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 330-9933.

Dr Charla Jeanine White is licensed to practice in Virginia (license number 0810003345) 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 1063489862.

Contact Information

	Dr Charla Jeanine White,
	9625 Surveyor Ct, Suite 200, Manassas, VA 20110-4422
	(703) 330-9933
	(703) 368-8454

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charla Jeanine White
Gender	Female
Speciality	Psychologist - Clinical
Location	9625 Surveyor Ct, Manassas, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063489862
Provider Enumeration Date: 03/01/2006
Last Update Date: 08/18/2009

Medicare PECOS Information:

PECOS PAC ID: 6002873494
Enrollment ID: I20051130000425

Medical Identifiers

Medical identifiers for Dr Charla Jeanine White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063489862	NPI	-	NPPES
0515622	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810003345 (Virginia)	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. Dr Charla Jeanine White allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520

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. Dr Charla Jeanine 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
Dr Charla Jeanine White, 2997 Stockholm Way, Woodbridge, VA 22191-4286 Ph: (703) 680-5146	Dr Charla Jeanine White, 9625 Surveyor Ct, Suite 200, Manassas, VA 20110-4422 Ph: (703) 330-9933

Reviews and Comments

Psychologist in Manassas, VA

David Boyd, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8700 Centreville Rd # 400, Manassas, VA 20110 Phone: 571-377-6851
Melanie Corum, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8140 Ashton Ave, Manassas, VA 20109 Phone: 703-330-9933
Ms. Denise Gubitosa, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8700 Centreville Rd # 400, Manassas, VA 20110 Phone: 571-377-6181
Dr. Suanne Shocket, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9625 Surveyor Ct, Suite 210, Manassas, VA 20110 Phone: 703-330-1072 Fax: 703-330-3966
Dr. Audra K. Sacher, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8140 Ashton Ave, Suite 200, Manassas, VA 20109 Phone: 703-330-9933
Stacey Davidson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8700 Centreville Rd Ste 400, Manassas, VA 20110 Phone: 571-377-6300

Dr Charla Jeanine White, - Medicare Psychologist in Manassas, VA