MARY WHITE PA
NPI 1003290313
Physician Assistant in Bangor, ME

Active since July 16, 2015PECOS EnrolledAccepts Medicare Assignment
543 BROADWAY, BANGOR, ME 04401(207) 922-1300(207) 217-6742 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Jan 3, 2022, Nov 18, 2019 and 1 more (4 updates tracked since 2016).

About Mary White Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY WHITE PA (NPI 1003290313) is an individual physician assistant in Bangor, Maine, licensed in Maine (PA1553) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Eastern Virginia Medical School (2014).

NPPES Registry Identity

NPI1003290313
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY WHITECredential: PA
Location Address543 BROADWAYBangor, ME 04401-3337
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308
Fax(207) 217-6742
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2014
Enumeration DateJuly 16, 2015
Last NPPES UpdateApril 8, 20244 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1003290313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA1553
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
543 BROADWAY, Bangor, ME 04401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary White Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749598522
PECOS Enrollment IDI20150928001802
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
23 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$5.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier18 claims18 services$184.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
543 BROADWAY
BANGOR, ME 04401
Nurse Practitioner
543 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
543 BROADWAY
BANGOR, ME 04401
Nurse Practitioner
543 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
543 BROADWAY
BANGOR, ME 04401
Physician Assistant
543 BROADWAY
BANGOR, ME 04401
Internal Medicine
543 BROADWAY
BANGOR, ME 04401
Nurse Practitioner
543 BROADWAY
BANGOR, ME 04401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary White's NPI number?

The NPI number for Mary White is 1003290313. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Mary White located?

Mary White practices at 543 Broadway, Bangor, ME 04401. The listed phone number is (207) 922-1300.

What is Mary White's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary White enrolled in Medicare?

Yes. Mary White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary White accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary White affiliated with any hospitals?

According to CMS data, Mary White is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Mary White was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.