Mary White, PA - Medicare Physician Assistant in Bangor, ME

  1. Home
  2. Physician Assistant
  3. ME
  4. Bangor
Mary White, PA is a medicare enrolled "Physician Assistant" in Bangor, Maine. Her current practice location is 543 Broadway, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 922-1300.

Mary White is licensed to practice in Maine (license number PA1553) 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 1003290313.

Contact Information

Mary White, PA
543 Broadway,
Bangor, ME 04401-3337
(207) 922-1300
(207) 217-6742

Map and Direction




Provider's Profile

Full NameMary White
GenderFemale
SpecialityPhysician Assistant
Location543 Broadway, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003290313
  • Provider Enumeration Date: 07/16/2015
  • Last Update Date: 04/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749598522
  • Enrollment ID: I20150928001802

Medical Identifiers

Medical identifiers for Mary White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003290313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA1553 (Maine)Primary

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. Mary White allows following entities to bill medicare on her behalf.
Entity NameSt Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154321545
PECOS PAC ID: 6406766336
Enrollment ID: O20040604000895
Entity NameConvenientmd - Ffs UC LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780375220
PECOS PAC ID: 5193186492
Enrollment ID: O20230803000124

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. Mary 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 AddressPractice Location Address
Mary White, PA
360 Us Highway 1 Byp Unit 102,
Portsmouth, NH 03801-7105

Ph: (603) 410-6700		Mary White, PA
543 Broadway,
Bangor, ME 04401-3337

Ph: (207) 922-1300

Reviews and Comments


Physician Assistant Nurses in Bangor, ME

Sarah Anne Whitty, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 915 Union St Ste 4, Bangor, ME 04401
Phone: 973-768-5029    
Margaret Elizabeth Kasper, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4949    
Kenneth G Nadeau, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1068 Union St, Bangor, ME 04401
Phone: 207-404-8181    Fax: 207-922-4198
Dara H Knapp, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7000    Fax: 207-973-5042
Kate Lucille Blanchard, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7000    
Jake Pristupa,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 55 Broadway Ste 2, Bangor, ME 04401
Phone: 207-947-0496    
Katherine Page Conway, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.