William Leslie White, MD - Medicare Surgery in Douglas, WY

William Leslie White, MD is a medicare enrolled "Surgery" physician in Douglas, Wyoming. His current practice location is 111 S 5th St, Douglas, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 358-2122.

William Leslie White is licensed to practice in Wyoming (license number 7283A) 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 1457461774.

Contact Information

William Leslie White, MD
111 S 5th St,
Douglas, WY 82633-2434
(307) 358-2122
(307) 358-9216



Physician's Profile

Full NameWilliam Leslie White
GenderMale
SpecialitySurgery
Location111 S 5th St, Douglas, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457461774
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214952282
  • Enrollment ID: I20051008000194

Medical Identifiers

Medical identifiers for William Leslie White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457461774NPI-NPPES
313803OtherWYBCBS OF WYOMING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 7283A (Wyoming)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. William Leslie White allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital Of Converse County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20031203000672

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Entity NameMemorial Hospital Of Converse County
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1326085408
PECOS PAC ID: 2264340843
Enrollment ID: O20070815000252

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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. William Leslie 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
William Leslie White, MD
111 S 5th St,
Douglas, WY 82633-2434

Ph: (307) 358-2122
William Leslie White, MD
111 S 5th St,
Douglas, WY 82633-2434

Ph: (307) 358-2122

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› Verified 9 days ago


Surgery Doctors in Douglas, WY

Jonathan L Grosdidier, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 111 S 5th St, Douglas, WY 82633
Phone: 307-358-2122    Fax: 307-358-9216

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