| Blaine G White, PA-C | |
|
621 3rd St S, Glasgow, MT 59230-2604 | |
| (406) 228-3645 | |
| (406) 228-3533 |
| Full Name | Blaine G White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 621 3rd St S, Glasgow, Montana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568718179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 19305 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frances Mahon Deaconess Hospital | Glasgow, MT | Hospital |
| Roosevelt Medical Center | Culbertson, MT | Hospital |
| Northern Rockies Medical Center | Cut bank, MT | Hospital |
| Sidney Health Center | Sidney, MT | Hospital |
| Logan Health - Chester | Chester, MT | Hospital |
| Roosevelt Medical Center | Culbertson, MT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Rockies Medical Center Inc | 0345234506 | 25 |
| Liberty County Hospital And Nursing Home Inc | 0042128480 | 26 |
| Frances Mahon Deaconess Hospital | 3173430949 | 38 |
| Culbertson Froid Bainville Health Care Corporation | 3173425436 | 8 |
| Entity Name | Frances Mahon Deaconess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639117013 PECOS PAC ID: 3173430949 Enrollment ID: O20031111000918 |
| Entity Name | Liberty County Hospital and Nursing Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003984097 PECOS PAC ID: 0042128480 Enrollment ID: O20040115000815 |
| Entity Name | Culbertson Froid Bainville Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598874232 PECOS PAC ID: 3173425436 Enrollment ID: O20040126000761 |
| Entity Name | Logan Health - Conrad |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445049 PECOS PAC ID: 8921917501 Enrollment ID: O20040304001137 |
| Entity Name | Northern Rockies Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831143080 PECOS PAC ID: 0345234506 Enrollment ID: O20040510001072 |
| Entity Name | Frances Mahon Deaconess Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689685323 PECOS PAC ID: 3173430949 Enrollment ID: O20061104000687 |
| Entity Name | Logan Health - Conrad |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467445049 PECOS PAC ID: 8921917501 Enrollment ID: O20210521001159 |
| Entity Name | Northern Rockies Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1831143080 PECOS PAC ID: 0345234506 Enrollment ID: O20210526001815 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20210629003620 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20220624001997 |
| Entity Name | Liberty County Hospital and Nursing Home Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497754782 PECOS PAC ID: 0042128480 Enrollment ID: O20220804002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine G White, PA-C 621 3rd St S, Glasgow, MT 59230-2651 Ph: (406) 228-3645 | Blaine G White, PA-C 621 3rd St S, Glasgow, MT 59230-2604 Ph: (406) 228-3645 |
Jace Allen Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 3rd St S, Glasgow, MT 59230 Phone: 406-228-3645 Fax: 406-228-3533 |
Emily M Stevenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 221 5th Ave S, Glasgow, MT 59230 Phone: 406-228-3536 |
Zachary Thomas Nerdin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 621 3rd St S, Glasgow, MT 59230 Phone: 406-228-3500 |
Kayli Carmen Christophel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Po Box 295, Glasgow, MT 59230 Phone: 406-642-0605 Fax: 406-820-6223 |
Nicole Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 221 5th Ave S, Glasgow, MT 59230 Phone: 406-228-3536 Fax: 406-225-3537 |
Chelsea Headley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 221 5th Ave S, Glasgow, MT 59230 Phone: 406-228-3400 |