Dr Jerry Wade White, MD - Pediatrics in Fort Campbell, KY

Dr Jerry Wade White, MD is a Pediatrics - Developmental - Behavioral Pediatrics physician based in Fort Campbell, Kentucky. Dr Jerry Wade White is licensed to practice in California (license number C52893) and his current practice location is 650 Joel Dr, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 798-4677.

NPI number for Dr Jerry Wade White is 1992775209 and his current mailing address is 650 Joel Dr, Fort Campbell, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992775209.

Contact Information

Dr Jerry Wade White, MD
650 Joel Dr,
Fort Campbell, KY 42223-5318
(270) 798-4677
(270) 956-0444

Map and Direction




Physician's Profile

Full NameDr Jerry Wade White
GenderMale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992775209
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 07/02/2019

Medical Identifiers

Medical identifiers for Dr Jerry Wade White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992775209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics C52893 (California)Primary
2080P0006XPediatrics - Developmental - Behavioral Pediatrics MD.018896 (Louisiana)Secondary

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 Jerry Wade White is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry Wade White, MD
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-4677
Dr Jerry Wade White, MD
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-4677

Reviews and Comments


Pediatrics Doctors in Fort Campbell, KY

Dr. Parker Thompson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-4677    
Mr. Douglas Henry,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 605 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223
Phone: 270-798-8372    
Gwynetta Maria Luckett, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8388    
Dr. Domenick Paul Nardi Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8470    
Dr. Suzanne Marie Wical, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 605-651-4259    
Angela M. Uy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8372    Fax: 270-956-0180
Dr. Shellon Angela Mcallister-rogers, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8260    Fax: 270-956-0444

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