Dr Jacquelyn Kibodeaux White, MD - Medicare Emergency Medicine in Ruston, LA

  1. Home
  2. Emergency Medicine
  3. LA
  4. Ruston
Dr Jacquelyn Kibodeaux White, MD is a medicare enrolled "Emergency Medicine" physician in Ruston, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 1988 and has 37 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Ward 3 4 And 10 Hospital Service District Of Parish Of Union and her current practice location is 4001 Ridgemont St, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 251-8838.

Dr Jacquelyn Kibodeaux White is licensed to practice in Louisiana (license number 021607) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629186812.

Contact Information

Dr Jacquelyn Kibodeaux White, MD
4001 Ridgemont St,
Ruston, LA 71270-9596
(318) 251-8838
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacquelyn Kibodeaux White
GenderFemale
SpecialityEmergency Medicine
Experience37 Years
Location4001 Ridgemont St, Ruston, Louisiana
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacquelyn Kibodeaux White attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1988
  NPI Data:
  • NPI Number: 1629186812
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 05/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991805889
  • Enrollment ID: I20070706000203

Medical Identifiers

Medical identifiers for Dr Jacquelyn Kibodeaux White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629186812NPI-NPPES
1121991MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LA201607 (Louisiana)Secondary
207P00000XEmergency Medicine 021607 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reeves Memorial Medical CenterBernice, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ward 3 4 And 10 Hospital Service District Of Parish Of Union812301113711

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 Jacquelyn Kibodeaux White allows following entities to bill medicare on her behalf.
Entity NameWard 3 4 & 10 Hospital Service District Of Parish Of Union
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124277728
PECOS PAC ID: 8123011137
Enrollment ID: O20040406000625
Entity NameEd Physicians Of West Louisiana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255460143
PECOS PAC ID: 4880795665
Enrollment ID: O20070724000101
Entity NameNorthern Louisiana Emergency Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588828172
PECOS PAC ID: 9638246846
Enrollment ID: O20080930000036
Entity NameLouisiana Department Of Health - Office Of Public Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144372343
PECOS PAC ID: 5890700694
Enrollment ID: O20140815000393

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 Jacquelyn Kibodeaux 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 Jacquelyn Kibodeaux White, MD
4001 Ridgemont St,
Ruston, LA 71270-9596

Ph: (318) 251-8838		Dr Jacquelyn Kibodeaux White, MD
4001 Ridgemont St,
Ruston, LA 71270-9596

Ph: (318) 251-8838

Reviews and Comments


Emergency Medicine Doctors in Ruston, LA

Dr. Derek Christopher Liston, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 401 East Vaughn Ave, North Louisiana Medical Center, Ruston, LA 71270
Phone: 318-245-2456    
Benson Albert Grigsby, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2916 N Trenton St, Ruston, LA 71270
Phone: 318-254-2892    Fax: 318-254-2898
Dr. James Patrick Taylor, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1702 Esplanade Ave, Ruston, LA 71270
Phone: 318-613-4119    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.