Kimberly Nicole White, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. Her current practice location is
Msc07 4240 1 University Of New Mexico, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 272-6000.
Kimberly Nicole White is licensed to practice in New Mexico (license number DO20220028) 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 1417418302.
Physician's Profile
Full Name | Kimberly Nicole White |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | Msc07 4240 1 University Of New Mexico, Albuquerque, New Mexico |
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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: 1417418302
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 05/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476881871
- Enrollment ID: I20220808002695
Medical Identifiers
Medical identifiers for Kimberly Nicole White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417418302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | DO20220028 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | DO20220028 (New Mexico) | 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. Kimberly Nicole White allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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. Kimberly Nicole 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 |
Kimberly Nicole White, DO Msc07 4240 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 272-6000 | Kimberly Nicole White, DO Msc07 4240 1 University Of New Mexico, Albuquerque, NM 87131-3587 Ph: (505) 272-6000 |
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