Dr. Mary White Pc - Medicare Podiatrist in Rockford, IL

Dr. Mary White Pc is a medicare enrolled "Podiatrist" provider in Rockford, Illinois. Their current practice location is 6451 E Riverside Blvd, Ste 104, Rockford, Illinois. You can reach out to their office (for appointments etc.) via phone at (815) 282-4000.

Dr. Mary White Pc is licensed to practice in Illinois (license number 016004011) and it also participates in the medicare program. Dr. Mary White Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174724520.

Contact Information

Dr. Mary White Pc
6451 E Riverside Blvd, Ste 104,
Rockford, IL 61114-4421
(815) 282-4000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr. Mary White Pc
TypeFacility
SpecialityPodiatrist
Location6451 E Riverside Blvd, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174724520
  • Provider Enumeration Date: 05/31/2007
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133028095
  • Enrollment ID: O20040108000808

Medical Identifiers

Medical identifiers for Dr. Mary White Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174724520NPI-NPPES
DO9332OtherILRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 016004011 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dr. Mary White Pc acts as a billing entity for following providers:
Provider NameMary C White
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1649293952
PECOS PAC ID: 4284533159
Enrollment ID: I20040113000393

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. Dr. Mary White Pc 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 AddressPractice Location Address
Dr. Mary White Pc
6451 E Riverside Blvd, Ste 104,
Rockford, IL 61114-4421

Ph: () -
Dr. Mary White Pc
6451 E Riverside Blvd, Ste 104,
Rockford, IL 61114-4421

Ph: (815) 282-4000

Reviews and Comments


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William J Bush, DPM
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Thomas A Runne Dpm Ltd
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Phone: 815-284-2023    
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Phone: 815-877-4177    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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