Alyssa Kate Thooft, RD is a medicare enrolled "Dietitian, Registered" provider in Morris, Minnesota. Her current practice location is
400 E 1st St, Morris, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 589-1313.
Alyssa Kate Thooft is licensed to practice in Minnesota (license number 3402) 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 1366859456.
Healthcare Provider's Profile
| Full Name | Alyssa Kate Thooft |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 400 E 1st St, Morris, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366859456
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 09/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 2860611472
- Enrollment ID: I20140915000275
Medical Identifiers
Medical identifiers for Alyssa Kate Thooft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366859456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 3402 (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. Alyssa Kate Thooft allows following entities to bill medicare on her behalf.
| Provider Name | Stevens Community Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417105552
PECOS PAC ID: 3678475852
Enrollment ID: O20040127000493 |
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| Provider Name | Sanford Health Network North |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429 |
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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. Alyssa Kate Thooft 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 |
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Alyssa Kate Thooft, RD
400 E 1st St,
Morris, MN 56267-1408
Ph: (320) 589-1313 | Alyssa Kate Thooft, RD
400 E 1st St,
Morris, MN 56267-1408
Ph: (320) 589-1313 |
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