Keith B White, PHD in Champaign, IL - Medicare Clinical Psychologist Provider

Keith B White, PHD is a medicare enrolled "Psychologist" provider in Champaign, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Carle Health Care Incorporated and his current practice location is 1701 W. Curtis Road, Psychology, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 365-6206.

Keith B White is licensed to practice in Illinois (license number 071006213) 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 1427151646.

Contact Information

	Keith B White, PHD
	1701 W. Curtis Road, Psychology, Champaign, IL 61822
	(217) 365-6206
	(217) 326-4003

Map and Direction

Healthcare Provider's Profile

Full Name	Keith B White
Gender	Male
Speciality	Clinical Psychologist
Experience	29 Years
Location	1701 W. Curtis Road, Champaign, Illinois
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:

Keith B White graduated from medical school in 1995

NPI Data:

NPI Number: 1427151646
Provider Enumeration Date: 09/06/2006
Last Update Date: 05/16/2014

Medicare PECOS Information:

PECOS PAC ID: 9537298062
Enrollment ID: I20100521000472

Medical Identifiers

Medical identifiers for Keith B White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427151646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	071006213 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	799

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. Keith B White allows following entities to bill medicare on his behalf.

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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. Keith B 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
Keith B White, PHD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792	Keith B White, PHD 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Ph: (217) 365-6206

Reviews and Comments

Psychologist in Champaign, IL

Rachael D Rubin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-255-9580 Fax: 217-255-9650
Kathryn Leskis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Neil St Ste 210, Champaign, IL 61820 Phone: 217-244-4597
Andrea R Klein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Phone: 217-365-6206 Fax: 217-326-1234
Holly N Mirell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Psychiatry/psychology, Champaign, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650
Dr. Michael A Campion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Clearlake Blvd Ste 202, Champaign, IL 61822 Phone: 217-356-9922 Fax: 217-356-9875
Dr. Dynesha Dione Mason-grissom, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2500 Galen Dr Ste 104, Champaign, IL 61821 Phone: 217-693-6072
Dr. John P Baker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855

Keith B White, PHD - Medicare Psychologist in Champaign, IL