Jacob Vaughn White, PHD in Traverse City, MI - Medicare Clinical Psychologist Provider

Jacob Vaughn White, PHD is a medicare enrolled "Psychologist - Clinical" provider in Traverse City, Michigan. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Jacob White Ph.d., Pllc, Mary Free Bed Rehabilitation Hospital and his current practice location is 3537 W. Front Street, Suite F, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-8900.

Jacob Vaughn White is licensed to practice in Michigan (license number 6301018202) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548735079.

Contact Information

	Jacob Vaughn White, PHD
	3537 W. Front Street, Suite F, Traverse City, MI 49684
	(231) 935-8900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Vaughn White
Gender	Male
Speciality	Clinical Psychologist
Experience	6 Years
Location	3537 W. Front Street, Traverse City, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Vaughn White graduated from medical school in 2018

NPI Data:

NPI Number: 1548735079
Provider Enumeration Date: 10/11/2018
Last Update Date: 11/05/2019

Medicare PECOS Information:

PECOS PAC ID: 5294167466
Enrollment ID: I20191111001625

Medical Identifiers

Medical identifiers for Jacob Vaughn White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548735079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301018202 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jacob White Ph.d., Pllc	4385076553	2
Mary Free Bed Rehabilitation Hospital	4587576541	107

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. Jacob Vaughn White allows following entities to bill medicare on his behalf.

Entity Name	Mary Free Bed Rehabilitation Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604

Entity Name	Jacob White Ph.d., Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881178325 PECOS PAC ID: 4385076553 Enrollment ID: O20191111000893

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. Jacob Vaughn 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
Jacob Vaughn White, PHD 3537 W. Front Street, Suite F, Traverse City, MI 49684 Ph: (231) 750-7045	Jacob Vaughn White, PHD 3537 W. Front Street, Suite F, Traverse City, MI 49684 Ph: (231) 935-8900

Reviews and Comments

Psychologist in Traverse City, MI

Arthur M Newhouse, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall St, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Jill L Platte, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall Street, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Dr. Terence Lee Bradley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3926 Village Circle Dr, Traverse City, MI 49686 Phone: 231-938-5900
Quentin Paul Kuntz, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2226 S. Airport Rd. West, Suite A, Traverse City, MI 49684 Phone: 231-947-2442 Fax: 231-947-2446
Kathleen Wong Seitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 West 11th St, Ste 1e, Traverse City, MI 49684 Phone: 231-946-6599
Kristen Ryder, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12935 S West Bay Shore Dr Ste 320, Traverse City, MI 49684 Phone: 231-268-0208
Dr. Elizabeth Garber Bruning, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10850 E Traverse Hwy, Suite 4000, Traverse City, MI 49684 Phone: 231-935-0790 Fax: 231-935-0791

Jacob Vaughn White, PHD - Medicare Psychologist in Traverse City, MI