Audrey L Picklesimer, MS,RD,LDN in Ooltewah, TN - Medicare Dietitian, Registered Provider

Audrey L Picklesimer, MS,RD,LDN is a medicare enrolled "Dietitian, Registered" provider in Ooltewah, Tennessee. Her current practice location is 8948 Long Savannah Rd, Ooltewah, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 339-1415.

Audrey L Picklesimer is licensed to practice in Tennessee (license number 1960) 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 1780838920.

Contact Information

	Audrey L Picklesimer, MS,RD,LDN
	8948 Long Savannah Rd, Ooltewah, TN 37363-5702
	(423) 339-1415
	(423) 339-1715

Map and Direction

Healthcare Provider's Profile

Full Name	Audrey L Picklesimer
Gender	Female
Speciality	Dietitian, Registered
Location	8948 Long Savannah Rd, Ooltewah, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780838920
Provider Enumeration Date: 11/14/2008
Last Update Date: 01/15/2014

Medicare PECOS Information:

PECOS PAC ID: 9830251016
Enrollment ID: I20081222000640

Medical Identifiers

Medical identifiers for Audrey L Picklesimer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780838920	NPI	-	NPPES
PENDING	Other	TN	NON APPLICABLE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1960 (Tennessee)	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. Audrey L Picklesimer allows following entities to bill medicare on her behalf.

Provider Name	Dynamic Dietetics
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427213248 PECOS PAC ID: 8921165440 Enrollment ID: O20090326000550

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. Audrey L Picklesimer 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
Audrey L Picklesimer, MS,RD,LDN 8948 Long Savannah Rd, Ooltewah, TN 37363-5702 Ph: (423) 339-1415	Audrey L Picklesimer, MS,RD,LDN 8948 Long Savannah Rd, Ooltewah, TN 37363-5702 Ph: (423) 339-1415

Reviews and Comments

Dietitian, Registered in Ooltewah, TN

Mrs. Tracy Rohrer, RD / LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5731 Main St, Ooltewah, TN 37363 Phone: 423-238-9636 Fax: 423-238-7095
Dee A Harwell, MS,RD,LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8948 Long Savannah Road, Ooltewah, TN 37363 Phone: 423-240-4550 Fax: 423-339-1715
Dorothea Sarli Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5750 Edgmon Rd, Ooltewah, TN 37363 Phone: 423-902-3008
Dorothea Sarli, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5750 Edgmon Rd, Ooltewah, TN 37363 Phone: 423-902-3008
Dynamic Dietetics Dietitian Medicare: Medicare Enrolled Practice Location: 8948 Long Savannah Rd, Ooltewah, TN 37363 Phone: 423-339-1415 Fax: 423-339-1715
Nutritionally Aok Dietitian Medicare: Medicare Enrolled Practice Location: 6103 Hunter Crest Dr, Ooltewah, TN 37363 Phone: 423-227-5017
Amanda Kirkpatrick, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 6103 Hunter Crest Drive, Ooltewah, TN 37363 Phone: 423-227-5017

Audrey L Picklesimer, MS,RD,LDN - Medicare Dietitian in Ooltewah, TN