Keith Allen White, MD is a medicare enrolled "Family Medicine" physician in Independence, Oregon. His current practice location is
1430 Monmouth St, Independence, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 838-1133.
Keith Allen White is licensed to practice in Oregon (license number MD10976) 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 1407959422.
Physician's Profile
Full Name | Keith Allen White |
---|
Gender | Male |
---|
Speciality | Family Medicine |
---|
Location | 1430 Monmouth St, Independence, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407959422
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 04/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709774961
- Enrollment ID: I20040309000491
Medical Identifiers
Medical identifiers for Keith Allen White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407959422 | NPI | - | NPPES |
26934-0 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD10976 (Oregon) | 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. Keith Allen White allows following entities to bill medicare on his behalf.
Entity Name | Virginia Garcia Memorial Health Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992 |
---|
Entity Name | Silverton Health |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
---|
Entity Name | Albany General Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
---|
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. Keith Allen 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 |
Keith Allen White, MD Po Box 6149, Aloha, OR 97007-0149 Ph: (503) 352-8657 | Keith Allen White, MD 1430 Monmouth St, Independence, OR 97351 Ph: (503) 838-1133 |
Reviews and Comments