Justin Thomas White, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Seattle, Washington. His current practice location is
747 Broadway, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 386-6000.
Justin Thomas White is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336699610.
Healthcare Provider's Profile
| Full Name | Justin Thomas White |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 747 Broadway, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336699610
- Provider Enumeration Date: 10/10/2016
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305128885
- Enrollment ID: I20170117002530
Medical Identifiers
Medical identifiers for Justin Thomas White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336699610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Justin Thomas White allows following entities to bill medicare on his behalf.
| Provider Name | University Of Louisville Physicians Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
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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. Justin Thomas 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 |
|---|
Justin Thomas White, MD
747 Broadway,
Seattle, WA 98122-4379
Ph: (206) 386-6000 | Justin Thomas White, MD
747 Broadway,
Seattle, WA 98122-4307
Ph: (206) 386-6000 |
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