Dr Kelly White, MD in Camarillo, CA - Medicare Internal Medicine

Dr Kelly White, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Camarillo, California. Her current practice location is 93 La Patera Dr, Camarillo, California. You can reach out to her office (for appointments etc.) via phone at (818) 584-4108.

Dr Kelly White is licensed to practice in California (license number A156556) 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 1114211091.

Contact Information

	Dr Kelly White, MD
	93 La Patera Dr, Camarillo, CA 93010-8460
	(818) 584-4108
	Not Available

Physician's Profile

Full Name	Dr Kelly White
Gender	Female
Speciality	Internal Medicine - Critical Care Medicine
Location	93 La Patera Dr, Camarillo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114211091
Provider Enumeration Date: 06/08/2011
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7416246939
Enrollment ID: I20160929000961

Medical Identifiers

Medical identifiers for Dr Kelly White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114211091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	25MA09931600 (New Jersey)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	A156556 (California)	Primary

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 Kelly 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
Dr Kelly White, MD 93 La Patera Dr, Camarillo, CA 93010-8460 Ph: (818) 584-4108	Dr Kelly White, MD 93 La Patera Dr, Camarillo, CA 93010-8460 Ph: (818) 584-4108

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Gulnar Poorsattar, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Camarillo Ranch Rd, Suite 204, Camarillo, CA 93012 Phone: 805-482-5550 Fax: 805-233-6367
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Susan S. Chang, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2438 N Ponderosa Dr, Suite # C-101, Camarillo, CA 93010 Phone: 805-383-9727 Fax: 805-764-1076
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Dr. Ksenija Peharda, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 380 Paseo Del Valle, Camarillo, CA 93010 Phone: 805-384-1350 Fax: 805-384-1330
Mr. Naser M Jamal, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5051 Verdugo Way, Ste 100, Camarillo, CA 93012 Phone: 805-384-8071 Fax: 805-987-1927
Mrs. Jocelyn Cadiente Napod, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5051 Verdugo Way, Ste 100, Camarillo, CA 93012 Phone: 805-384-8071 Fax: 805-987-1927

Dr Kelly White, MD - Medicare Internal Medicine in Camarillo, CA