Matthew P White, LMFT, MDIV is a medicare enrolled "Marriage & Family Therapist" provider in Kingsley, Michigan. His current practice location is
8772 Blackman Rd, Kingsley, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 944-5907.
Matthew P White is licensed to practice in Michigan (license number 4101007335) 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 1780068270.
Healthcare Provider's Profile
Full Name | Matthew P White |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 8772 Blackman Rd, Kingsley, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780068270
- Provider Enumeration Date: 07/14/2015
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052839891
- Enrollment ID: I20250515002671
Medical Identifiers
Medical identifiers for Matthew P White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780068270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 252320 (Kentucky) | Secondary |
106H00000X | Marriage & Family Therapist | 4101007335 (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. Matthew P White allows following entities to bill medicare on his behalf.
Entity Name | Kentucky Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
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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. Matthew P 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 |
Matthew P White, LMFT, MDIV 8772 Blackman Rd, Kingsley, MI 49649-9646 Ph: (502) 509-1342 | Matthew P White, LMFT, MDIV 8772 Blackman Rd, Kingsley, MI 49649-9646 Ph: (231) 944-5907 |
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