Chandra Lynn White, PMHNP in Virginia, MN - Medicare Nurse Practitioner

Chandra Lynn White, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Virginia, Minnesota. Her current practice location is 302 Chestnut St Ste 408, Virginia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 969-0386.

Chandra Lynn White is licensed to practice in Minnesota (license number R160948-4) 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 1558618884.

Contact Information

	Chandra Lynn White, PMHNP
	302 Chestnut St Ste 408, Virginia, MN 55792-5610
	(218) 969-0386
	Not Available

Map and Direction

Provider's Profile

Full Name	Chandra Lynn White
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	302 Chestnut St Ste 408, Virginia, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558618884
Provider Enumeration Date: 08/06/2012
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8820249741
Enrollment ID: I20121126000641

Medical Identifiers

Medical identifiers for Chandra Lynn White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558618884	NPI	-	NPPES
1558618884	Medicaid	WI
1558618884	Medicaid	MN
1558618884	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R160948-4 (Minnesota)	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. Chandra Lynn White allows following entities to bill medicare on her behalf.

Entity Name	Associates In Psychiatry And Psychology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922145622 PECOS PAC ID: 5799697876 Enrollment ID: O20031105000739

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

Entity Name	Northern Tranquility Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700469640 PECOS PAC ID: 4981009479 Enrollment ID: O20210820003039

Entity Name	Chrysalis Wellness Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083497358 PECOS PAC ID: 9931553542 Enrollment ID: O20231002001059

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. Chandra Lynn 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
Chandra Lynn White, PMHNP Po Box 701, Buhl, MN 55713-0701 Ph: (218) 969-0386	Chandra Lynn White, PMHNP 302 Chestnut St Ste 408, Virginia, MN 55792-5610 Ph: (218) 969-0386

Reviews and Comments

Nurse Practitioner Nurses in Virginia, MN

Jennifer Lynn Kober, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150
Mrs. Erin R Thielbar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8373 Unity Dr, Virginia, MN 55792 Phone: 218-748-7480 Fax: 218-748-7488
Brooke Elizabeth Pettinelli, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Duluth Clinic-virginia, Virginia, MN 55792 Phone: 218-741-0150
Sara Luoma, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792 Phone: 218-741-7750
Sara J Bruemmer, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8373 Unity Dr, Virginia, MN 55792 Phone: 218-748-7480
Pamela J Jarvis, MA RN PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806
Drew Hayes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000

Chandra Lynn White, PMHNP - Medicare Nurse Practitioner in Virginia, MN