Randall Glen White Jr, MD in Bossier City, LA

Randall Glen White Jr, MD is a medicare enrolled "Pediatrics" physician in Bossier City, Louisiana. His current practice location is 2300 Hospital Dr Ste 120, Bossier City, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-7982.

Randall Glen White Jr is licensed to practice in Louisiana (license number 313083) 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 1295199016.

Contact Information

	Randall Glen White Jr, MD
	2300 Hospital Dr Ste 120, Bossier City, LA 71111
	(318) 212-7982
	(318) 212-7989

Map and Direction

Physician's Profile

Full Name	Randall Glen White Jr
Gender	Male
Speciality	Pediatrics
Location	2300 Hospital Dr Ste 120, Bossier City, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295199016
Provider Enumeration Date: 04/07/2016
Last Update Date: 06/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1456649714
Enrollment ID: I20200325001557

Medical Identifiers

Medical identifiers for Randall Glen White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295199016	NPI	-	NPPES
2417380	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	313083 (Louisiana)	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. Randall Glen White Jr allows following entities to bill medicare on his behalf.

Entity Name	Wk Preferred Pediatrics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760043491 PECOS PAC ID: 9931537974 Enrollment ID: O20200325001138

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. Randall Glen White Jr 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
Randall Glen White Jr, MD 1202 Louisiana Ave, Shreveport, LA 71101-3910 Ph: (318) 212-8951	Randall Glen White Jr, MD 2300 Hospital Dr Ste 120, Bossier City, LA 71111 Ph: (318) 212-7982

Reviews and Comments

Pediatrics Doctors in Bossier City, LA

Rhett F Mclaren, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr, Suite 120, Bossier City, LA 71111 Phone: 318-212-7883 Fax: 318-212-7885
Mandhar R. Manchandia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Shed Rd, Bossier City, LA 71111 Phone: 318-747-5272 Fax: 318-746-9669
Dr. Zack G Sanders, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Ste 120, Bossier City, LA 71111 Phone: 318-742-6710 Fax: 318-747-5393
Quynh Tran Dang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr Ste 340, Bossier City, LA 71111 Phone: 318-212-7883 Fax: 318-212-7885
Dr. Jacqueline J Gray, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 420, Bossier City, LA 71111 Phone: 318-212-7880
Jennifer Kelley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr Ste 300, Bossier City, LA 71111 Phone: 318-212-7793 Fax: 318-212-7795

Randall Glen White Jr, MD - Medicare Pediatrics in Bossier City, LA