Dr Jared Adam White, MD is a medicare enrolled "Transplant Surgery" physician in Atlanta, Georgia. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Piedmont Providers Llc and his current practice location is
1968 Peachtree Rd Nw Bldg 775th, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 605-4600.
Dr Jared Adam White is licensed to practice in Georgia (license number 98768) 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 1811101538.
Physician's Profile
| Full Name | Dr Jared Adam White |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 20 Years |
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| Location | 1968 Peachtree Rd Nw Bldg 775th, Atlanta, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jared Adam White graduated from medical school in 2006
NPI Data:
- NPI Number: 1811101538
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476724691
- Enrollment ID: I20240605003195
Medical Identifiers
Medical identifiers for Dr Jared Adam White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811101538 | NPI | - | NPPES |
| 051116814 | Other | AL | BCBS |
| 128478 | Medicaid | AL | |
| 129530 | Medicaid | AL | |
| 051116813 | Other | AL | BCBS |
| 051116815 | Other | AL | BCBS |
| 051116816 | Other | AL | BCBS |
| 08389333 | Medicaid | MS | |
| 128476 | Medicaid | AL | |
| 128477 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204F00000X | Transplant Surgery | 81933 (South Carolina) | Secondary |
| 204F00000X | Transplant Surgery | 28464 (Alabama) | Secondary |
| 204F00000X | Transplant Surgery | 98768 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Providers Llc | 9830082825 | 526 |
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 Jared Adam White allows following entities to bill medicare on his behalf.
| Entity Name | Piedmont Providers LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321 |
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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. Dr Jared Adam 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 |
|---|
Dr Jared Adam White, MD
Po Box 751461,
Charlotte, NC 28275-1461
Ph: (843) 792-6200 | Dr Jared Adam White, MD
1968 Peachtree Rd Nw Bldg 775th,
Atlanta, GA 30309-1281
Ph: (404) 605-4600 |
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