Keenon White, MD in Bridgeville, DE - Medicare Family Practice

Keenon White, MD is a medicare enrolled "Family Medicine" in Bridgeville, Delaware. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tidalhealth Physician Network, Inc. and his current practice location is 9111 Antique Aly Unit 1, Bridgeville, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 337-9320.

Keenon White is licensed to practice in Delaware (license number C1-0012179) 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 1447428636.

Contact Information

	Keenon White, MD
	9111 Antique Aly Unit 1, Bridgeville, DE 19933-4682
	(302) 337-9320
	(302) 337-9640

Map and Direction

Provider's Profile

Full Name	Keenon White
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	9111 Antique Aly Unit 1, Bridgeville, Delaware
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keenon White graduated from nursing school in 2017

NPI Data:

NPI Number: 1447428636
Provider Enumeration Date: 02/11/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5890910038
Enrollment ID: I20170815000626

Medical Identifiers

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

Identifier	Type	State	Issuer
1447428636	NPI	-	NPPES
1447428636	Medicaid	DE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	26NP05281400 (New Jersey)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	C1-0012179 (Delaware)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nanticoke Memorial Hospital	Seaford, DE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidalhealth Physician Network, Inc.	7315901253	75

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. Keenon White allows following entities to bill medicare on his behalf.

Entity Name	Tidalhealth Physician Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090

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. Keenon 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
Keenon White, MD 9111 Antique Aly Unit 1, Bridgeville, DE 19933-4682 Ph: (302) 337-9320	Keenon White, MD 9111 Antique Aly Unit 1, Bridgeville, DE 19933-4682 Ph: (302) 337-9320

Keenon White, MD - Medicare Family Practice in Bridgeville, DE