Dianna Lynn White, FNP in Gray, GA - Medicare Nurse Practitioner

Dianna Lynn White, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gray, Georgia. Her current practice location is 1005 Boulder Dr, Gray, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 621-2072.

Dianna Lynn White is licensed to practice in Georgia (license number RN221863) 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 1578584256.

Contact Information

	Dianna Lynn White, FNP
	1005 Boulder Dr, Gray, GA 31032-6141
	(478) 621-2072
	Not Available

Map and Direction

Provider's Profile

Full Name	Dianna Lynn White
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1005 Boulder Dr, Gray, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578584256
Provider Enumeration Date: 07/21/2006
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 3678579026
Enrollment ID: I20120904000814

Medical Identifiers

Medical identifiers for Dianna Lynn White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578584256	NPI	-	NPPES
1396839981	Medicaid	MI
1144371279	Medicaid	MI
1871645309	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN221863 (Georgia)	Primary
363LF0000X	Nurse Practitioner - Family	4704160906 (Michigan)	Secondary

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. Dianna Lynn White allows following entities to bill medicare on her behalf.

Entity Name	Community Primary Care Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274

Entity Name	Viral Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275141467 PECOS PAC ID: 1850716945 Enrollment ID: O20200806001711

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. Dianna Lynn 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
Dianna Lynn White, FNP 1005 Boulder Dr, Gray, GA 31032-6141 Ph: (478) 621-2100	Dianna Lynn White, FNP 1005 Boulder Dr, Gray, GA 31032-6141 Ph: (478) 621-2072

Reviews and Comments

Nurse Practitioner Nurses in Gray, GA

Natalie F Evans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Clinton St, Gray, GA 31032 Phone: 478-986-4743
Mrs. Brenda Gail Tolleson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Mrs. Leslie Busbee Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Michael Kelly, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Mrs. Marie Rosemonde Nozil, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 678-334-7218
Mrs. Catherine Marie Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Jennifer Lee Clark, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481

Dianna Lynn White, FNP - Medicare Nurse Practitioner in Gray, GA