| Mrs Katrina A White, PA | |
|
145 Memorial Drive, Broken Bow, NE 68822-0690 | |
| (308) 872-2486 | |
| (308) 872-2027 |
| Full Name | Mrs Katrina A White |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 145 Memorial Drive, Broken Bow, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104919240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1174 (Nebraska) | Secondary |
| 363A00000X | Physician Assistant | 1174 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley County Health System | Ord, NE | Hospital |
| Chi Health Good Samaritan | Kearney, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Emergency Grand Island Inc | 1153677828 | 21 |
| Phelps Memorial Health Center | 9931011947 | 35 |
| Valley County Hospital | 7810808250 | 15 |
| Entity Name | Valley County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619927654 PECOS PAC ID: 7810808250 Enrollment ID: O20041209000841 |
| Entity Name | Valley County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609834985 PECOS PAC ID: 7810808250 Enrollment ID: O20071129000227 |
| Entity Name | Phelps Memorial Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1629035936 PECOS PAC ID: 9931011947 Enrollment ID: O20071129000753 |
| Entity Name | Phelps Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871528851 PECOS PAC ID: 9931011947 Enrollment ID: O20080603000111 |
| Entity Name | Midwest Emergency Grand Island Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508357930 PECOS PAC ID: 1153677828 Enrollment ID: O20180711000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katrina A White, PA Po Box 690, Broken Bow, NE 68822-0690 Ph: (308) 872-2486 | Mrs Katrina A White, PA 145 Memorial Drive, Broken Bow, NE 68822-0690 Ph: (308) 872-2486 |