Ms Maureen White, PHD is a medicare enrolled "Psychologist - Counseling" provider in Gresham, Wisconsin. Her current practice location is
N2150 Kesaehkahtek, Gresham, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 799-3835.
Ms Maureen White is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679988083.
Healthcare Provider's Profile
| Full Name | Ms Maureen White |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | N2150 Kesaehkahtek, Gresham, Wisconsin |
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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: 1679988083
- Provider Enumeration Date: 06/24/2014
- Last Update Date: 01/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446608897
- Enrollment ID: I20231127001607
Medical Identifiers
Medical identifiers for Ms Maureen White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679988083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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. Ms Maureen White allows following entities to bill medicare on her behalf.
| Entity Name | Family Therapy Center Of Madison, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164587150 PECOS PAC ID: 1850285826 Enrollment ID: O20040211000028 |
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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. Ms Maureen 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 |
Ms Maureen White, PHD N2150 Kesaehkahtek, Gresham, WI 54128-2150 Ph: (715) 799-3835 | Ms Maureen White, PHD N2150 Kesaehkahtek, Gresham, WI 54128-2150 Ph: (715) 799-3835 |
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