Jacob White, is a medicare enrolled "Physician Assistant" in Kamas, Utah. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice University Of Utah Community Physicians Group and his current practice location is
228 W 200 S Ste B, Kamas, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 783-4385.
Jacob White is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841983384.
Provider's Profile
| Full Name | Jacob White |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 228 W 200 S Ste B, Kamas, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob White graduated from nursing school in 2023
NPI Data:
- NPI Number: 1841983384
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385091735
- Enrollment ID: I20231107003228
Medical Identifiers
Medical identifiers for Jacob White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841983384 | NPI | - | NPPES |
| 13526811-1206 | Other | UT | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Utah Community Physicians Group | 9739403569 | 255 |
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. Jacob 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 |
|---|
Jacob White,
55 W 500 S,
Heber City, UT 84032-2245
Ph: (801) 694-8425 | Jacob White,
228 W 200 S Ste B,
Kamas, UT 84036-9010
Ph: (435) 783-4385 |
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