Jacob White, MD in Poughkeepsie, NY - Medicare Emergency Medicine

Jacob White, MD is a medicare enrolled "Emergency Medicine" physician in Poughkeepsie, New York. His current practice location is 45 Reade Pl, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at (845) 790-2085.

Jacob White is licensed to practice in New York (license number 330967) 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 1558936294.

Contact Information

	Jacob White, MD
	45 Reade Pl, Poughkeepsie, NY 12601-3947
	(845) 790-2085
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob White
Gender	Male
Speciality	Emergency Medicine
Location	45 Reade Pl, Poughkeepsie, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558936294
Provider Enumeration Date: 05/25/2021
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 1355885807
Enrollment ID: I20240626001003

Medical Identifiers

Medical identifiers for Jacob White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558936294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	330967 (New York)	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. Jacob White allows following entities to bill medicare on his behalf.

Entity Name	Rochester General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644

Entity Name	Newark Wayne Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722

Entity Name	The Unity Hospital Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038

Entity Name	Emergency Physician Services Of New York, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528

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. Jacob 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
Jacob White, MD 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: () -	Jacob White, MD 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 790-2085

Reviews and Comments

Emergency Medicine Doctors in Poughkeepsie, NY

Dr. Domenico Carmine Mastandrea, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-431-5680
Miss Alexis Cordiano, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-431-5624 Fax: 610-617-6280
Dr. Nadia Adside, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-790-2085
Dr. Tatyana Shkolnikov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Manchester Rd Ste 105, Poughkeepsie, NY 12603 Phone: 845-225-7337 Fax: 845-225-1183
Mr. Mohammad Ahmad Khan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2649 South Road, Suite 104, Poughkeepsie, NY 12601 Phone: 845-790-1317
Dr. Yong Kwok, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Read Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500
Kristin Wolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1910 South Rd, Poughkeepsie, NY 12601 Phone: 845-454-0120 Fax: 845-686-9016

Jacob White, MD - Medicare Emergency Medicine in Poughkeepsie, NY