Dr Alisha Allen White, MD is a medicare enrolled "Internal Medicine" physician in Glen Carbon, Illinois. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is
4 Country Club Executive Park, Glen Carbon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 659-5567.
Dr Alisha Allen White is licensed to practice in Illinois (license number 036.121823) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467600155.
Physician's Profile
| Full Name | Dr Alisha Allen White |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 19 Years |
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| Location | 4 Country Club Executive Park, Glen Carbon, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alisha Allen White attended and graduated from University Of Missouri, Columbia School Of Medicine in 2005
NPI Data:
- NPI Number: 1467600155
- Provider Enumeration Date: 09/05/2008
- Last Update Date: 02/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486719028
- Enrollment ID: I20110228000402
Medical Identifiers
Medical identifiers for Dr Alisha Allen White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467600155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 036.121823 (Illinois) | Primary |
Medical Facilities Affiliation
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 Alisha Allen White allows following entities to bill medicare on her behalf.
| Entity Name | Transformative Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356849566
PECOS PAC ID: 6608137211
Enrollment ID: O20180222001524 |
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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. Dr Alisha Allen 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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Dr Alisha Allen White, MD
4 Country Club Executive Park,
Glen Carbon, IL 62034-1702
Ph: (618) 659-5567 | Dr Alisha Allen White, MD
4 Country Club Executive Park,
Glen Carbon, IL 62034-1702
Ph: (618) 659-5567 |
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