Kaitlyn Rose Pscodna, MSW, LGSW, RDN, CSSD is a medicare enrolled "Dietitian, Registered" provider in Ludington, Michigan. Her current practice location is
7052 Abrahamson Rd, Ludington, Michigan. You can reach out to her office (for appointments etc.) via phone at
(612) 405-4251.
Kaitlyn Rose Pscodna is licensed to practice in * (Not Available) (license number ) 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 1013587344.
Healthcare Provider's Profile
Full Name | Kaitlyn Rose Pscodna |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 7052 Abrahamson Rd, Ludington, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013587344
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436553542
- Enrollment ID: I20210811004179
Medical Identifiers
Medical identifiers for Kaitlyn Rose Pscodna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013587344 | NPI | - | NPPES |
33848 | Other | MN | LICENSED GRADUATE SOCIAL WORKER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 33848 (Minnesota) | Secondary |
133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Kaitlyn Rose Pscodna allows following entities to bill medicare on her behalf.
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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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. Kaitlyn Rose Pscodna 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 |
Kaitlyn Rose Pscodna, MSW, LGSW, RDN, CSSD 7052 Abrahamson Rd, Ludington, MI 49431-8800 Ph: (612) 405-4251 | Kaitlyn Rose Pscodna, MSW, LGSW, RDN, CSSD 7052 Abrahamson Rd, Ludington, MI 49431-8800 Ph: (612) 405-4251 |
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