Audrey Olivia White, DNP, FNP-C in Glenn Dale, MD

Audrey Olivia White, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Glenn Dale, Maryland. Her current practice location is 12150 Annapolis Rd Ste 105, Glenn Dale, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 460-1988.

Audrey Olivia White is licensed to practice in Maryland (license number R110790) 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 1023585106.

Contact Information

	Audrey Olivia White, DNP, FNP-C
	12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769-9183
	(240) 460-1988
	(301) 805-2076

Map and Direction

Provider's Profile

Full Name	Audrey Olivia White
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12150 Annapolis Rd Ste 105, Glenn Dale, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023585106
Provider Enumeration Date: 10/26/2018
Last Update Date: 09/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4981939733
Enrollment ID: I20190716002373

Medical Identifiers

Medical identifiers for Audrey Olivia White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023585106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R110790 (Maryland)	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. Audrey Olivia White allows following entities to bill medicare on her behalf.

Entity Name	Nader A Dakak
Entity Type	Practitioner - Cardiovascular Disease (cardiology)
Entity Identifiers	NPI Number: 1457332652 PECOS PAC ID: 1254322985 Enrollment ID: I20040521000160

Entity Name	Nurse Practitioner Next Door
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548944705 PECOS PAC ID: 6204359854 Enrollment ID: O20250325001547

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. Audrey Olivia 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
Audrey Olivia White, DNP, FNP-C 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769-9183 Ph: (240) 460-1988	Audrey Olivia White, DNP, FNP-C 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769-9183 Ph: (240) 460-1988

Reviews and Comments

Nurse Practitioner Nurses in Glenn Dale, MD

Elaine Young Bundy, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd, Suite 108, Glenn Dale, MD 20769 Phone: 301-860-1200
Nelley Acheampong-buadu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 101, Glenn Dale, MD 20769 Phone: 301-693-7590
Mrs. Carolyn Michelle Allen, CRNP-F Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5802 King Arthur Way, Glenn Dale, MD 20769 Phone: 301-464-7614
Mary Spencer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8061 Springfield Rd, Glenn Dale, MD 20769 Phone: 434-390-6641 Fax: 240-206-3855
Irene A Ginczek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769 Phone: 301-867-2488 Fax: 301-390-6243
Mary Olabisi Peters, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769 Phone: 301-218-0398 Fax: 301-218-0040

Audrey Olivia White, DNP, FNP-C - Medicare Nurse Practitioner in Glenn Dale, MD