Abby Jo Tibodeau, RD, LD in Mankato, MN - Medicare Dietitian, Registered Provider

Abby Jo Tibodeau, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Mankato, Minnesota. Her current practice location is 1230 E Main St, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 625-1811.

Abby Jo Tibodeau is licensed to practice in Minnesota (license number 3033) 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 1912471665.

Contact Information

	Abby Jo Tibodeau, RD, LD
	1230 E Main St, Mankato, MN 56001-5066
	(507) 625-1811
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Abby Jo Tibodeau
Gender	Female
Speciality	Dietitian, Registered
Location	1230 E Main St, Mankato, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912471665
Provider Enumeration Date: 01/16/2019
Last Update Date: 07/22/2020

Medicare PECOS Information:

PECOS PAC ID: 3870832074
Enrollment ID: I20231121002106

Medical Identifiers

Medical identifiers for Abby Jo Tibodeau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912471665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3033 (Minnesota)	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. Abby Jo Tibodeau allows following entities to bill medicare on her behalf.

Provider Name	Surely Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053078360 PECOS PAC ID: 3072960491 Enrollment ID: O20231116003130

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. Abby Jo Tibodeau 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
Abby Jo Tibodeau, RD, LD 120 Mallard Ct, Mankato, MN 56001-1860 Ph: (507) 327-7993	Abby Jo Tibodeau, RD, LD 1230 E Main St, Mankato, MN 56001-5066 Ph: (507) 625-1811

Reviews and Comments

Dietitian, Registered in Mankato, MN

Hy-vee Health Pc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2010 Adams St, Mankato, MN 56001 Phone: 515-225-2930
Emily Jean Rothstein, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Ms. Kellie C Hochhalter, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Holly Sue Ellison, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811
Rebecca J Gruenes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031
Shelby Hohloch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1961 Premier Dr, Mankato, MN 56001 Phone: 507-387-2939
Jennifer Donkin, Dietitian Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031

Abby Jo Tibodeau, RD, LD - Medicare Dietitian in Mankato, MN