Mr Ricky Lynn White, PHYSICIAN ASSISTANT in Martinsburg, WV - Medicare Physician Assistant

Mr Ricky Lynn White, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Martinsburg, West Virginia. His current practice location is 510 Butler Ave, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 262-0811.

Mr Ricky Lynn White is licensed to practice in Virginia (license number 0110-001492) 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 1073592564.

Contact Information

	Mr Ricky Lynn White, PHYSICIAN ASSISTANT
	510 Butler Ave, Martinsburg, WV 25405-9990
	(304) 262-0811
	(304) 262-1292

Provider's Profile

Full Name	Mr Ricky Lynn White
Gender	Male
Speciality	Physician Assistant
Location	510 Butler Ave, Martinsburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073592564
Provider Enumeration Date: 01/12/2006
Last Update Date: 07/16/2007

Medicare PECOS Information:

PECOS PAC ID: 6103248638
Enrollment ID: I20200629003460

Medical Identifiers

Medical identifiers for Mr Ricky Lynn White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073592564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110-001492 (Virginia)	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. Mr Ricky Lynn 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
Mr Ricky Lynn White, PHYSICIAN ASSISTANT 510 Butler Ave, Martinsburg, WV 25405-9990 Ph: (304) 263-0811	Mr Ricky Lynn White, PHYSICIAN ASSISTANT 510 Butler Ave, Martinsburg, WV 25405-9990 Ph: (304) 262-0811

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Physician Assistant Nurses in Martinsburg, WV

Ms. Beth Ann Znaniecki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg Veterans Administration Medical Center, Martinsburg, WV 25401 Phone: 304-263-0811
Mark Alan Brown, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 121 Fawn Haven Ct, Martinsburg, WV 25401 Phone: 304-279-6890
Sarah Elizabeth Knott Cross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Professional Ct Ste A, Martinsburg, WV 25401 Phone: 304-264-9837 Fax: 304-264-9838
Holly Lyn Bonner, MPH, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811
Karen Ann Bowerman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Dry Run Rd, City Hospital, Martinsburg, WV 25401 Phone: 304-264-1000
Tedric Lolis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1008 Tavern Rd Ste 102, Martinsburg, WV 25401 Phone: 304-263-5129 Fax: 304-263-3726

Mr Ricky Lynn White, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Martinsburg, WV