Holly Breanne White, FNP - Medicare Nurse Practitioner in Mauldin, SC

Holly Breanne White, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mauldin, South Carolina. Her current practice location is 224 E Butler Rd, Mauldin, South Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Holly Breanne White is licensed to practice in South Carolina (license number 27035) 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 1104517283.

Contact Information

Holly Breanne White, FNP
224 E Butler Rd,
Mauldin, SC 29662-2129
(866) 389-2727
Not Available



Provider's Profile

Full NameHolly Breanne White
GenderFemale
SpecialityNurse Practitioner - Family
Location224 E Butler Rd, Mauldin, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104517283
  • Provider Enumeration Date: 05/18/2023
  • Last Update Date: 05/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608237599
  • Enrollment ID: I20230725000727

Medical Identifiers

Medical identifiers for Holly Breanne White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104517283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 27035 (South Carolina)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. Holly Breanne White allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447420815
PECOS PAC ID: 8527126861
Enrollment ID: O20081015000409

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Entity NameMinuteclinic Video Virtual Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200507003000

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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. Holly Breanne 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
Holly Breanne White, FNP
105 Estate Ridge Rd,
Gaffney, SC 29340-5637

Ph: (864) 425-1369
Holly Breanne White, FNP
224 E Butler Rd,
Mauldin, SC 29662-2129

Ph: (866) 389-2727

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Nurse Practitioner Nurses in Mauldin, SC

Erica Michelle Noone, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Butler Rd, Mauldin, SC 29662
Phone: 864-288-8722    Fax: 864-277-8300
Connie Mae Lenagh, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 924 E. Butler Rd, Mauldin, SC 29662
Phone: 864-234-1282    
Ms. Judith Ann Dawson-weiss, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 224 E Butler Rd, Mauldin, SC 29662
Phone: 864-234-1282    Fax: 864-284-9826
Apryl Michelle Watson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 E Butler Rd Ste C1, Mauldin, SC 29662
Phone: 864-305-1662    Fax: 864-603-2067
Terry Lynn Verdin, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 793 E Butler Rd, Mauldin, SC 29662
Phone: 864-720-1442    Fax: 864-720-1443
Vanessa Latimer Copeland, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 434 Woodbark Ct, Mauldin, SC 29662
Phone: 864-365-5660    Fax: 864-365-5660

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