Mr David Jason White, RN, FNP in Ooltewah, TN

Mr David Jason White, RN, FNP is a medicare enrolled "Registered Nurse - Emergency" in Ooltewah, Tennessee. His current practice location is 7130 Klingler Ln, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (734) 755-2105.

Mr David Jason White is licensed to practice in Tennessee (license number 229954) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194590810.

Contact Information

	Mr David Jason White, RN, FNP
	7130 Klingler Ln, Ooltewah, TN 37363-5575
	(734) 755-2105
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr David Jason White
Gender	Male
Speciality	Registered Nurse - Emergency
Location	7130 Klingler Ln, Ooltewah, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194590810
Provider Enumeration Date: 11/22/2023
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8022453992
Enrollment ID: I20240301000372

Medical Identifiers

Medical identifiers for Mr David Jason White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194590810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	229954 (Tennessee)	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. Mr David Jason White allows following entities to bill medicare on his behalf.

Entity Name	Urgent Care Centers Of East Tennessee, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316124852 PECOS PAC ID: 1951485150 Enrollment ID: O20080227000117

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. Mr David Jason 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
Mr David Jason White, RN, FNP 7130 Klingler Ln, Ooltewah, TN 37363-5575 Ph: (734) 755-2105	Mr David Jason White, RN, FNP 7130 Klingler Ln, Ooltewah, TN 37363-5575 Ph: (734) 755-2105

Reviews and Comments

Registered Nurse Nurses in Ooltewah, TN

Jaime Tessier, CRNA Registered Nurse Medicare: Medicare Enrolled Practice Location: 8410 Front Gate Cir, Ooltewah, TN 37363 Phone: 423-488-1983
Breanna Jewell Britton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5520 High St, Ooltewah, TN 37363 Phone: 423-209-6020
Ms. Yolanda Rey-bernal, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8622 Tradewind Cir Apt 302, Ooltewah, TN 37363 Phone: 423-243-8703
Alexandrea Stockburger, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8680 Skybrook Dr, Ooltewah, TN 37363 Phone: 423-596-8632
Ashley Laura Lucas, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5879 Crooked Creek Dr, Ooltewah, TN 37363 Phone: 423-619-3622
Mrs. Janice Smith Lipscomb, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5520 High St, Ooltewah, TN 37363 Phone: 423-238-4269 Fax: 423-238-5910

Mr David Jason White, RN, FNP - Medicare Registered Nurse in Ooltewah, TN