John C White, MD is a medicare enrolled "Emergency Medicine" physician in Ashland, Wisconsin. His current practice location is
1615 Maple Lane, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 685-5513.
John C White is licensed to practice in Wisconsin (license number 37688-20) 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 1275533176.
Physician's Profile
| Full Name | John C White |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1615 Maple Lane, Ashland, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275533176
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 11/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163317637
- Enrollment ID: I20040727000330
Medical Identifiers
Medical identifiers for John C White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275533176 | NPI | - | NPPES |
| 390908320 | Other | | STANDARD TAX ID NUMB |
| 0124793 | Other | | MEDICA PROVIDER NUMB |
| 32252000 | Other | | GROUP HEALTH OF EAU |
| P00341834 | Other | | PALMETTO GBA RR ME |
| 32252000 | Medicaid | WI | |
| 314P8WH | Other | | BLUE CROSS BLUE SHIE |
| G28181 | Other | | AMERICAS PPO |
| HP60964 | Other | | HEALTH PARTNERS |
| 1011768 | Other | | PREFERRED ONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 37688 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | MD23757 (Maine) | Secondary |
| 207Q00000X | Family Medicine | 37688-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 37688-020 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 37688-20 (Wisconsin) | 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. John C White allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437179231
PECOS PAC ID: 8022000447
Enrollment ID: O20040402000938 |
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| Entity Name | Medical Services, Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20061104000208 |
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| Entity Name | Memorial Medical Center Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1437179231
PECOS PAC ID: 8022000447
Enrollment ID: O20070625000370 |
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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. John C 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 |
|---|
John C White, MD
1615 Maple Lane,
Ashland, WI 54806
Ph: (715) 685-5513 | John C White, MD
1615 Maple Lane,
Ashland, WI 54806
Ph: (715) 685-5513 |
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