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Catherine White

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

15110 John J Delaney Dr, Ste 100, Charlotte, NC 28277-3544

PECOS Enrollment

Based on the most recent information from CMS, provider Catherine White is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871136176
Provider Type
Individual
Full Name
White, Catherine
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
10/21/2019
Last Updated
3/29/2021

Contact Information

Practice Location

15110 John J Delaney Dr, Ste 100, Charlotte, NC 28277-3544

(704) 512-5100

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-10319 North Carolina
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3588 South Carolina

Catherine White

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Allen, Marchelle Isyk

Fair, Rachel Denise

Tomlinson, Blair Strandberg

Sullins, Alyssa Leigh

John, Kelly Deanne

O'Brien, Sharon Mcvay

Bevins, Melissa Haikal

Bullard, Christina Marie

Guerrero, Stefani Viviane

Kenney, Ethan Raymond