Amelia Beth Davidson, MS, RD, CSP, CD in Salt Lake City, UT - Medicare Dietitian, Registered Provider

Amelia Beth Davidson, MS, RD, CSP, CD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Salt Lake City, Utah. Her current practice location is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-5320.

Amelia Beth Davidson is licensed to practice in Utah (license number 6349146-4901) 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 1255688685.

Contact Information

	Amelia Beth Davidson, MS, RD, CSP, CD
	100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-5320
	(801) 662-5300

Map and Direction

Healthcare Provider's Profile

Full Name	Amelia Beth Davidson
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Pediatric
Location	100 Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255688685
Provider Enumeration Date: 08/03/2012
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6103277306
Enrollment ID: I20240112000583

Medical Identifiers

Medical identifiers for Amelia Beth Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255688685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	6349146-4901 (Utah)	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. Amelia Beth Davidson allows following entities to bill medicare on her behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Amelia Beth Davidson 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
Amelia Beth Davidson, MS, RD, CSP, CD 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-5320	Amelia Beth Davidson, MS, RD, CSP, CD 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-5320

Reviews and Comments

Dietitian, Registered in Salt Lake City, UT

Andrea Addley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1174 E Graystone Way Ste 1a, Salt Lake City, UT 84106 Phone: 801-664-2182
Ms. Erinn Meyer, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8th Ave & C St, Salt Lake City, UT 84143 Phone: 804-408-1760
Krista Skye Viau, MS, RD, CSP, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-587-9590
Amelia Pape, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2079 S 1200 E Unit 210, Salt Lake City, UT 84105 Phone: 970-231-7392
Ana Paula Coronel Olivas, PSM, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd # 120, Salt Lake City, UT 84148 Phone: 801-582-1565
Dakota Wren Chetrit, PA-C, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 565 S Komas Dr, Salt Lake City, UT 84108 Phone: 801-584-5144
Carol Fletcher, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-4017

Amelia Beth Davidson, MS, RD, CSP, CD - Medicare Dietitian in Salt Lake City, UT