Mrs Mallory Dayle White, APRN, CNP-FAMILY in Sand Springs, OK

Mrs Mallory Dayle White, APRN, CNP-FAMILY is a medicare enrolled "Nurse Practitioner - Family" in Sand Springs, Oklahoma. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osumc Professional Services Llc and her current practice location is 514 Plaza Ct, Sand Springs, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 215-5100.

Mrs Mallory Dayle White is licensed to practice in Oklahoma (license number 92345) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124411749.

Contact Information

	Mrs Mallory Dayle White, APRN, CNP-FAMILY
	514 Plaza Ct, Sand Springs, OK 74063-7915
	(918) 215-5100
	(918) 215-5105

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Dayle White
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	514 Plaza Ct, Sand Springs, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mallory Dayle White graduated from nursing school in 2015

NPI Data:

NPI Number: 1124411749
Provider Enumeration Date: 03/06/2015
Last Update Date: 02/12/2019

Medicare PECOS Information:

PECOS PAC ID: 8628385333
Enrollment ID: I20150914000390

Medical Identifiers

Medical identifiers for Mrs Mallory Dayle White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124411749	NPI	-	NPPES
434557YMSD	Other	OK	MEDICARE
200599040A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	92345 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oklahoma State University Medical Center	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osumc Professional Services Llc	9234254012	27

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. Mrs Mallory Dayle White allows following entities to bill medicare on her behalf.

Entity Name	Osumc Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922325992 PECOS PAC ID: 9234254012 Enrollment ID: O20100916000969

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 Mallory Dayle 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
Mrs Mallory Dayle White, APRN, CNP-FAMILY 514 Plaza Ct, Sand Springs, OK 74063-7915 Ph: (918) 215-5100	Mrs Mallory Dayle White, APRN, CNP-FAMILY 514 Plaza Ct, Sand Springs, OK 74063-7915 Ph: (918) 215-5100

Reviews and Comments

Nurse Practitioner Nurses in Sand Springs, OK

Kurtis Scott Crawford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 S Main St, Sand Springs, OK 74063 Phone: 918-246-2288 Fax: 918-246-5714
Dakota Bell Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 W 35th St, Sand Springs, OK 74063 Phone: 918-381-2014
Jill Johnson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 796 E Charles Page Blvd, Sand Springs, OK 74063 Phone: 918-245-2286
Jeannette Elaine Windschitl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 South Main Street, Sand Springs, OK 74136 Phone: 918-246-5750 Fax: 918-246-5714
Heather Dawn Zimmerman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 S Main Street, Sand Springs, OK 74063 Phone: 918-245-2286 Fax: 918-241-4366
Brittiany N Coyer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 E Broadway Ct Ste A, Sand Springs, OK 74063 Phone: 918-520-9000

Mrs Mallory Dayle White, APRN, CNP-FAMILY - Medicare Nurse Practitioner in Sand Springs, OK