Dr Robert W White Jr, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Manitowoc, Wisconsin. His current practice location is
1520 S 41st St, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 320-4660.
Dr Robert W White Jr is licensed to practice in Wisconsin (license number 81616) 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 1336308907.
Physician's Profile
| Full Name | Dr Robert W White Jr |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 1520 S 41st St, Manitowoc, 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: 1336308907
- Provider Enumeration Date: 06/08/2008
- Last Update Date: 06/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 4688731425
- Enrollment ID: I20221109001848
Medical Identifiers
Medical identifiers for Dr Robert W White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336308907 | NPI | - | NPPES |
| 28777841 | Medicaid | NM | |
| 51305879 | Medicaid | NM | |
| 53938577 | Medicaid | NM | |
| 94939063 | Medicaid | NM | |
| 01786342 | Medicaid | NM | |
| 46650024 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 81616 (Wisconsin) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 39073 (Colorado) | Secondary |
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 Robert W White Jr allows following entities to bill medicare on his behalf.
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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 Robert W White Jr 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 Robert W White Jr, MD
3714 N 50th St,
Sheboygan, WI 53083-2597
Ph: (803) 414-5189 | Dr Robert W White Jr, MD
1520 S 41st St,
Manitowoc, WI 54220-7312
Ph: (920) 320-4660 |
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