Amy G Woodman, RDN is a medicare enrolled "Dietitian, Registered" provider in North Granby, Connecticut. Her current practice location is
1 Silver Brook Ln, North Granby, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 324-8963.
Amy G Woodman 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 1417580614.
Healthcare Provider's Profile
Full Name | Amy G Woodman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1 Silver Brook Ln, North Granby, Connecticut |
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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: 1417580614
- Provider Enumeration Date: 02/16/2020
- Last Update Date: 02/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547620916
- Enrollment ID: I20230717002394
Medical Identifiers
Medical identifiers for Amy G Woodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417580614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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. Amy G Woodman allows following entities to bill medicare on her behalf.
Provider Name | Motivated Concepts, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1235739574 PECOS PAC ID: 9638539000 Enrollment ID: O20230717002219 |
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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. Amy G Woodman 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 |
Amy G Woodman, RDN 1 Silver Brook Lane, North Granby, CT 06060-1111 Ph: (860) 324-8963 | Amy G Woodman, RDN 1 Silver Brook Ln, North Granby, CT 06060-1111 Ph: (860) 324-8963 |
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