Ms Anna Marie White, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Fayetteville, AR

Ms Anna Marie White, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Fayetteville, Arkansas. Her current practice location is 1100 North College Avenue, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 443-4301.

Ms Anna Marie White is licensed to practice in Arkansas (license number PA-240) 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 1083719181.

Contact Information

Ms Anna Marie White, PHYSICIAN ASSISTANT
1100 North College Avenue,
Fayetteville, AR 72703
(479) 443-4301
(479) 587-5889



Provider's Profile

Full NameMs Anna Marie White
GenderFemale
SpecialityPhysician Assistant - Medical
Location1100 North College Avenue, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083719181
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 02/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6305893660
  • Enrollment ID: I20201217003082

Medical Identifiers

Medical identifiers for Ms Anna Marie White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083719181NPI-NPPES
710685433OtherARTAX ID
PA-240OtherARSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA-240 (Arkansas)Primary
363A00000XPhysician Assistant PA-240 (Arkansas)Secondary

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. Ms Anna Marie 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
Ms Anna Marie White, PHYSICIAN ASSISTANT
Po Box 9627,
Fayetteville, AR 72703

Ph: (479) 422-9697
Ms Anna Marie White, PHYSICIAN ASSISTANT
1100 North College Avenue,
Fayetteville, AR 72703

Ph: (479) 443-4301

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Physician Assistant Nurses in Fayetteville, AR

Kristin Salmon, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Savannah Hill, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Charles Earl Wall Jr., PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Moorea Leigh Massa, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-463-3000    
Mr. Joseph D Cogan, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Dept 116a, Fayetteville, AR 72703
Phone: 479-443-4301    Fax: 479-587-5951
Madalynn Potter,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-463-3000    

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