Russell E White, MD - Medicare Surgery in Providence, RI

Russell E White, MD is a medicare enrolled "Surgery" physician in Providence, Rhode Island. His current practice location is 2 Dudley St, Suite 470, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 854-2428.

Russell E White is licensed to practice in Rhode Island (license number MD07961) 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 1952383952.

Contact Information

Russell E White, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236
(401) 854-2428
(401) 435-7069



Physician's Profile

Full NameRussell E White
GenderMale
SpecialitySurgery
Location2 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952383952
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 01/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406877372
  • Enrollment ID: I20051207001013

Medical Identifiers

Medical identifiers for Russell E White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952383952NPI-NPPES
7002293MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD07961 (Rhode Island)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. Russell E White allows following entities to bill medicare on his behalf.
Entity NameUniversity Surgical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376589895
PECOS PAC ID: 4082503032
Enrollment ID: O20040818001275

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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. Russell E 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
Russell E White, MD
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625
Russell E White, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236

Ph: (401) 854-2428

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Surgery Doctors in Providence, RI

Aileen Hsueh,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Sagar Mulay,
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Dewahar Senthoor, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    

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