| Mark E White, PA-C | |
|
480 Hawthorn St, Ste 200, N Dartmouth, MA 02747-3713 | |
| (508) 973-9150 | |
| (508) 973-9155 |
| Full Name | Mark E White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 480 Hawthorn St, N Dartmouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679560635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA809 (Massachusetts) | Primary |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E White, PA-C 200 Mill Rd, Ste 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Mark E White, PA-C 480 Hawthorn St, Ste 200, N Dartmouth, MA 02747-3713 Ph: (508) 973-9150 |
Aaron J Novy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 480 Hawthorn St, N Dartmouth, MA 02747 Phone: 508-973-9150 Fax: 508-973-9155 | |
Grace Fantl, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 145 Faunce Corner Mall Rd, N Dartmouth, MA 02747 Phone: 508-993-7601 Fax: 508-997-0523 | |
Lissette Chao, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300a Faunce Corner Rd, N Dartmouth, MA 02747 Phone: 508-973-1100 Fax: 508-973-1105 |