Mr Jeffrey Gordon White, LCSW in Portage, MI - Medicare Social Worker Provider

Mr Jeffrey Gordon White, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portage, Michigan. His current practice location is 8036 Moorsbridge Rd, Suite 2, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 327-1438.

Mr Jeffrey Gordon White is licensed to practice in Michigan (license number 6801093325) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538213103.

Contact Information

	Mr Jeffrey Gordon White, LCSW
	8036 Moorsbridge Rd, Suite 2, Portage, MI 49024-4419
	(269) 327-1438
	(269) 327-6454

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey Gordon White
Gender	Male
Speciality	Social Worker - Clinical
Location	8036 Moorsbridge Rd, Portage, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538213103
Provider Enumeration Date: 01/22/2007
Last Update Date: 10/20/2011

Medicare PECOS Information:

PECOS PAC ID: 5294880795
Enrollment ID: I20180718003487

Medical Identifiers

Medical identifiers for Mr Jeffrey Gordon White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538213103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	007303 (Connecticut)	Secondary
1041C0700X	Social Worker - Clinical	076562 (New York)	Secondary
1041C0700X	Social Worker - Clinical	6801093325 (Michigan)	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. Mr Jeffrey Gordon White allows following entities to bill medicare on his behalf.

Entity Name	Mid America Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376682641 PECOS PAC ID: 1759374812 Enrollment ID: O20040415000412

Entity Name	Glubke And White Psychotherapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962195859 PECOS PAC ID: 8022478866 Enrollment ID: O20230712002018

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. Mr Jeffrey Gordon 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
Mr Jeffrey Gordon White, LCSW 5121 Willowbend Trl, Kalamazoo, MI 49009-9593 Ph: (917) 355-5801	Mr Jeffrey Gordon White, LCSW 8036 Moorsbridge Rd, Suite 2, Portage, MI 49024-4419 Ph: (269) 327-1438

Reviews and Comments

Social Worker in Portage, MI

Heather Belanger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8080 Moorsbridge Rd, Portage, MI 49024 Phone: 269-377-6541
Carol A Harvey, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6100 Newport Rd Ste 222, Portage, MI 49002 Phone: 269-488-5929 Fax: 833-599-7700
Mrs. Bethany Joy Adams, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-760-2083
Ms. Deborah Elizabeth Search Willoughby, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1398 Palmetto Dr, Portage, MI 49002 Phone: 269-327-7472
Katelyn Root, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Romence Rd Ste 211a, Portage, MI 49024 Phone: 269-588-0669
Katherine Bell, LMSW, IMH-E (III) Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5805 Oakland Dr, Portage, MI 49024 Phone: 269-323-1954
Sandra L Bates, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10332 Shaver Rd, Portage, MI 49024 Phone: 269-993-0112

Mr Jeffrey Gordon White, LCSW - Medicare Clinical Social Worker in Portage, MI