Dr Jacob White, MD - Medicare Interventional Radiology in New York, NY

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Dr Jacob White, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in New York, New York. He went to Georgetown University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Pelham Pkwy Medical Of New York Llc, Integrated Medical Professionals Pllc, Pelham Pkwy Professional Medical Services Of New York Llc, Usa Vein Clinics Of New Jersey Llc, Usa Vascular Center Of New Jersey Llc and his current practice location is 1264 Saint Nicholas Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (347) 532-1845.

Dr Jacob White is licensed to practice in New York (license number 264822) 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 1386969210.

Contact Information

Dr Jacob White, MD
1264 Saint Nicholas Ave,
New York, NY 10033-7263
(347) 532-1845
(718) 301-1099

Map and Direction




Physician's Profile

Full NameDr Jacob White
GenderMale
SpecialityInterventional Radiology
Experience15 Years
Location1264 Saint Nicholas Ave, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacob White attended and graduated from Georgetown University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1386969210
  • Provider Enumeration Date: 04/04/2010
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436457579
  • Enrollment ID: I20171113001088

Medical Identifiers

Medical identifiers for Dr Jacob White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386969210NPI-NPPES
04887023MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 264822 (New York)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. Dr Jacob White allows following entities to bill medicare on his behalf.
Entity NameIntegrated Medical Professionals Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346203536
PECOS PAC ID: 6406868462
Enrollment ID: O20060613000088
Entity NameUsa Medical Of Bensonhurst Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780028597
PECOS PAC ID: 3173746799
Enrollment ID: O20140528001303
Entity NameNew York Professional Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639518848
PECOS PAC ID: 9537483565
Enrollment ID: O20150123000194
Entity NameValley Stream Professional Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356739668
PECOS PAC ID: 0840517710
Enrollment ID: O20150402002087
Entity NameWashington Heights Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417340134
PECOS PAC ID: 0648581025
Enrollment ID: O20150626000169
Entity NameValley Stream Medical Of New York, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891183950
PECOS PAC ID: 0345557138
Enrollment ID: O20150910001854
Entity NameBrighton Beach Medical Of New York, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295194504
PECOS PAC ID: 6406136217
Enrollment ID: O20171109000315
Entity NameJamaica Queens Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366962961
PECOS PAC ID: 4082975529
Enrollment ID: O20180226002657
Entity NameStarrett City Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043752785
PECOS PAC ID: 7113288564
Enrollment ID: O20180227000669
Entity NameCorona Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437691920
PECOS PAC ID: 5395006746
Enrollment ID: O20180227000708
Entity NameAstoria Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790156982
PECOS PAC ID: 8729349055
Enrollment ID: O20180302000179
Entity NamePelham Pkwy Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285156067
PECOS PAC ID: 4082976386
Enrollment ID: O20180327000712
Entity NameMott Haven Professional Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922525781
PECOS PAC ID: 5193088946
Enrollment ID: O20180410001065
Entity NameSt Nicholas Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033631064
PECOS PAC ID: 7618231457
Enrollment ID: O20180503001031
Entity NamePelham Pkwy Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063926962
PECOS PAC ID: 9335404557
Enrollment ID: O20180517001134
Entity NameQueens Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184138091
PECOS PAC ID: 2062777527
Enrollment ID: O20180604001787
Entity NameJamaica Queens Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578080966
PECOS PAC ID: 0042575557
Enrollment ID: O20180605000934
Entity NameFoxhurst Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366956260
PECOS PAC ID: 4688929771
Enrollment ID: O20180613001476
Entity NameFoxhurst Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730547522
PECOS PAC ID: 6901151778
Enrollment ID: O20180619001805
Entity NameBushwick Medical Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720565922
PECOS PAC ID: 5092068262
Enrollment ID: O20181106000485
Entity NameNorwood Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528547312
PECOS PAC ID: 4183977366
Enrollment ID: O20181106000914
Entity NameBushwick Professional Medical Services Of New York Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003393299
PECOS PAC ID: 0648516617
Enrollment ID: O20190111001240
Entity NameFallsview Medical Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073160685
PECOS PAC ID: 3971835919
Enrollment ID: O20191024002096
Entity NameHudson Valley Lithotripsy Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437242781
PECOS PAC ID: 4183078603
Enrollment ID: O20231002001672

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 Jacob 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 AddressPractice Location Address
Dr Jacob White, MD
Po Box 32,
Northbrook, IL 60065-0032

Ph: (224) 318-0118		Dr Jacob White, MD
1264 Saint Nicholas Ave,
New York, NY 10033-7263

Ph: (347) 532-1845

Reviews and Comments


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