Jessica T White, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Chicago, Illinois. Her current practice location is
8420 W Bryn Mawr Ave Ste 300, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 355-5300.
Jessica T White is licensed to practice in Illinois (license number 209.006937) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326224338.
Physician's Profile
Full Name | Jessica T White |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 8420 W Bryn Mawr Ave Ste 300, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326224338
- Provider Enumeration Date: 01/21/2008
- Last Update Date: 11/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608950076
- Enrollment ID: I20080222000584
Medical Identifiers
Medical identifiers for Jessica T White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326224338 | NPI | - | NPPES |
01623422 | Other | | BCBS ID IL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 209006937 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.006937 (Illinois) | 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. Jessica T White allows following entities to bill medicare on her behalf.
Entity Name | Mobile Anesthesiologists Chicago Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396887774 PECOS PAC ID: 9436119542 Enrollment ID: O20041013000867 |
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Entity Name | Lake Anesthesia Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528260635 PECOS PAC ID: 9830287416 Enrollment ID: O20071115000086 |
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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. Jessica T 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 |
Jessica T White, CRNA Po Box 443, Bedford Park, IL 60499-0443 Ph: (773) 355-5300 | Jessica T White, CRNA 8420 W Bryn Mawr Ave Ste 300, Chicago, IL 60631-3436 Ph: (773) 355-5300 |
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