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

Audrey L Picklesimer, MS,RD,LDN is a medicare enrolled "Dietitian, Registered" provider in Knoxville, Tennessee. Her current practice location is 200 Prosperity Dr, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 290-0110.

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
	200 Prosperity Dr, Knoxville, TN 37923-4718
	(865) 290-0110
	(865) 290-0140

Map and Direction

Healthcare Provider's Profile

Full Name	Audrey L Picklesimer
Gender	Female
Speciality	Dietitian, Registered
Location	200 Prosperity Dr, Knoxville, 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: 01/03/2025

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 3420 New Corinth Rd, Blaine, TN 37709-5623 Ph: (865) 290-0110	Audrey L Picklesimer, MS,RD,LDN 200 Prosperity Dr, Knoxville, TN 37923-4718 Ph: (865) 290-0110

Reviews and Comments

Dietitian, Registered in Knoxville, TN

Mrs. Lisa Ruth Cooper, R.D., LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1915 White Ave, Thompson Cancer Survival Center, Knoxville, TN 37916 Phone: 865-541-2036
Mrs. Madden Wilson, RDN, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2100 Clinch Ave Ste 510, Knoxville, TN 37916 Phone: 865-546-3998
Mrs. Lee Thrash Murphy, MS-MPH, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Dameron Ave, Knoxville, TN 37917 Phone: 865-215-5184
Jane Vicknair White, PHD, RD, FADA, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, U-115, Knoxville, TN 37920 Phone: 865-544-9351 Fax: 865-544-9314
Khrysta Ann Marie Baig, MSPH, RD, LDN, CHES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W Main St, Knoxville, TN 37902 Phone: 865-215-3153
Dorothy Delene Collins, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1522 Cherokee Trl, Knoxville, TN 37920 Phone: 865-549-5350 Fax: 865-594-6291
Katharine Brosnan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4310 Barbara Dr, Knoxville, TN 37918 Phone: 865-548-6477

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