Mrs Beverly Dene White, PA-C is a
Physician Assistant based in Olton, Texas. Mrs Beverly Dene White is licensed to practice in Texas (license number PA00190) and her current practice location is
600 Main St., Olton, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 285-2209.
NPI number for Mrs Beverly Dene White is 1417958554 and her current mailing address is Po Box 508, 600 Main Street, Olton, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417958554.
Provider's Profile
| Full Name | Mrs Beverly Dene White |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 600 Main St., Olton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417958554
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 02/08/2016
Medical Identifiers
Medical identifiers for Mrs Beverly Dene White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417958554 | NPI | - | NPPES |
| 1032277 | Other | | NCCPA |
| PA00190 | Other | TX | PHYSICIAN ASSISTANT LICEN |
| 8N4306 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00190 (Texas) | 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. Mrs Beverly Dene White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Beverly Dene White, PA-C
Po Box 508, 600 Main Street,
Olton, TX 79064-0508
Ph: (806) 292-2754 | Mrs Beverly Dene White, PA-C
600 Main St.,
Olton, TX 79064-0508
Ph: (806) 285-2209 |
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