Andrea Jean Crittenden, RDN is a medicare enrolled "Dietitian, Registered" provider in Mckinleyville, California. Her current practice location is
1763 Pickett Rd, Mckinleyville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 601-4020.
Andrea Jean Crittenden 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 1659036499.
Healthcare Provider's Profile
| Full Name | Andrea Jean Crittenden |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1763 Pickett Rd, Mckinleyville, 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: 1659036499
- Provider Enumeration Date: 11/06/2021
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810434115
- Enrollment ID: I20240805001951
Medical Identifiers
Medical identifiers for Andrea Jean Crittenden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659036499 | 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. Andrea Jean Crittenden allows following entities to bill medicare on her behalf.
| 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. Andrea Jean Crittenden 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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Andrea Jean Crittenden, RDN
1763 Pickett Rd,
Mckinleyville, CA 95519-3945
Ph: () - | Andrea Jean Crittenden, RDN
1763 Pickett Rd,
Mckinleyville, CA 95519-3945
Ph: (707) 601-4020 |
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