Amy Saleh Slabaugh, RDN is a medicare enrolled "Dietitian, Registered" provider in San Lorenzo, California. Her current practice location is
17641 Via Arriba, San Lorenzo, California. You can reach out to her office (for appointments etc.) via phone at
(510) 342-9836.
Amy Saleh Slabaugh 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 1164560140.
Healthcare Provider's Profile
| Full Name | Amy Saleh Slabaugh |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 17641 Via Arriba, San Lorenzo, California |
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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: 1164560140
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 12/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880051382
- Enrollment ID: I20230526000915
Medical Identifiers
Medical identifiers for Amy Saleh Slabaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164560140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 Saleh Slabaugh allows following entities to bill medicare on her behalf.
| Provider Name | Ilivewell Nutrition Therapy, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093150070
PECOS PAC ID: 5496186009
Enrollment ID: O20200515000498 |
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| Provider Name | Nourish, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558097824
PECOS PAC ID: 1557724937
Enrollment ID: O20230901000471 |
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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 Saleh Slabaugh 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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Amy Saleh Slabaugh, RDN
17641 Via Arriba,
San Lorenzo, CA 94580-3019
Ph: (510) 342-9836 | Amy Saleh Slabaugh, RDN
17641 Via Arriba,
San Lorenzo, CA 94580-3019
Ph: (510) 342-9836 |
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