| Dr Shelby T White, MD | |
|
901c South Frontage Rd, Meridian, MS 39301 | |
| (601) 482-4955 | |
| Not Available |
| Full Name | Dr Shelby T White |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 901c South Frontage Rd, Meridian, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720036890 | NPI | - | NPPES |
| 08923390 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R861790 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | T-4868 (Mississippi) | Primary |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Rush Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
| Entity Name | North Sunflower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
| Entity Name | Kemper Cah, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
| Entity Name | Rh Emergency Medicine Of Perry County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740058650 PECOS PAC ID: 8022461573 Enrollment ID: O20240131002979 |
| Entity Name | Rh Emergency Medicine Of Pearl River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265206544 PECOS PAC ID: 9032562384 Enrollment ID: O20240202000443 |
| Entity Name | Rh Hospitalist Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053173237 PECOS PAC ID: 2365881091 Enrollment ID: O20240415002150 |
| Entity Name | Rh Emergency Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356103527 PECOS PAC ID: 4789023201 Enrollment ID: O20240417001265 |
| Entity Name | Rh Emergency Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336901511 PECOS PAC ID: 7517306830 Enrollment ID: O20240419001361 |
| Entity Name | Rh Hospitalist Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174385355 PECOS PAC ID: 6103265145 Enrollment ID: O20240423003254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelby T White, MD P. O. Box 511, Liberty, MS 39645-0511 Ph: (601) 657-4326 | Dr Shelby T White, MD 901c South Frontage Rd, Meridian, MS 39301 Ph: (601) 482-4955 |