Dr Allissa Marie White, MD - Medicare Family Medicine in Altus, OK

Dr Allissa Marie White, MD is a medicare enrolled "Family Medicine" physician in Altus, Oklahoma. Her current practice location is 205 S Park Ln, Altus, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 379-6650.

Dr Allissa Marie White is licensed to practice in Oklahoma (license number 34797) 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 1043877756.

Contact Information

Dr Allissa Marie White, MD
205 S Park Ln,
Altus, OK 73521-5755
(580) 379-6650
(580) 379-6659



Physician's Profile

Full NameDr Allissa Marie White
GenderFemale
SpecialityFamily Medicine
Location205 S Park Ln, Altus, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043877756
  • Provider Enumeration Date: 05/29/2019
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557696952
  • Enrollment ID: I20210831003812

Medical Identifiers

Medical identifiers for Dr Allissa Marie White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043877756NPI-NPPES
200992670BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34797 (Oklahoma)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. Dr Allissa Marie White allows following entities to bill medicare on her behalf.
Entity NameJackson County Memorial Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763781
PECOS PAC ID: 1759293178
Enrollment ID: O20031104000406

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Entity NameAbsentee Shawnee Tribe Of Oklahoma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942253521
PECOS PAC ID: 9335053479
Enrollment ID: O20031113000654

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Entity NameLi-si-wi-nwi Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124152962
PECOS PAC ID: 4183895519
Enrollment ID: O20130227000474

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Entity NameAbsentee Shawnee Tribal Health Authority, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942253521
PECOS PAC ID: 5799171088
Enrollment ID: O20220414000294

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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. Dr Allissa Marie 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 AddressPractice Location Address
Dr Allissa Marie White, MD
205 S Park Ln,
Altus, OK 73521-5755

Ph: (580) 379-6650
Dr Allissa Marie White, MD
205 S Park Ln,
Altus, OK 73521-5755

Ph: (580) 379-6650

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Family Medicine Doctors in Altus, OK

Carol Marie Sherman, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Park Ln, Altus, OK 73521
Phone: 580-379-6650    Fax: 580-379-6659
Jamie L Hokett, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Park Ln, Altus, OK 73521
Phone: 580-379-6650    Fax: 580-379-6659
Jessica-renee Gamboa, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 301 N 1st St, Altus, OK 73523
Phone: 580-481-5062    
Abdallah S Dawod, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 304 S Park Ln, Suite B, Altus, OK 73521
Phone: 580-379-6550    Fax: 580-379-6559
Dr. Lonnie Edwin Perryman Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 205 S Park Ln, Altus, OK 73521
Phone: 580-379-6650    Fax: 580-379-6659
Isaac Yourison,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 301 N 1st St, Altus, OK 73523
Phone: 580-481-5180    

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