Mr Jonathan Andrew White, PA-C is a medicare enrolled "Physician Assistant" in Jay, Oklahoma. His current practice location is
1015 W Washbourne St, Jay, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 253-1700.
Mr Jonathan Andrew White is licensed to practice in Oklahoma (license number PA2267) 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 1730529371.
Provider's Profile
| Full Name | Mr Jonathan Andrew White |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1015 W Washbourne St, Jay, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730529371
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 06/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 8628203569
- Enrollment ID: I20131030000401
Medical Identifiers
Medical identifiers for Mr Jonathan Andrew White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730529371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA2267 (Oklahoma) | Primary |
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 Jonathan Andrew 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 Jonathan Andrew White, PA-C 3202 W Pittsburg St, Broken Arrow, OK 74012-9011 Ph: (918) 629-2407 | Mr Jonathan Andrew White, PA-C 1015 W Washbourne St, Jay, OK 74346-4205 Ph: (918) 253-1700 |
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