Brenna St John, is a medicare enrolled "Dietitian, Registered" provider in Colfax, Washington. Her current practice location is
1200 W Fairview St, Colfax, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 397-5743.
Brenna St John is licensed to practice in Washington (license number 60898597) 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 1235604935.
Healthcare Provider's Profile
| Full Name | Brenna St John |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1200 W Fairview St, Colfax, Washington |
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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: 1235604935
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 06/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072858430
- Enrollment ID: I20181213001503
Medical Identifiers
Medical identifiers for Brenna St John such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235604935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 60898597 (Washington) | 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. Brenna St John allows following entities to bill medicare on her behalf.
| Provider Name | Public Hospital District #1-a Of Whitman County |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366446767
PECOS PAC ID: 8325934987
Enrollment ID: O20040223000506 |
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| Provider Name | Public Hospital District No 3 Of Whitman County |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20040309000090 |
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| Provider Name | Public Hospital District No 3 Of Whitman County |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1922009448
PECOS PAC ID: 7719875020
Enrollment ID: O20080212000301 |
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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. Brenna St John 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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Brenna St John,
Po Box 1081,
Tekoa, WA 99033-1081
Ph: (509) 710-1286 | Brenna St John,
1200 W Fairview St,
Colfax, WA 99111-9552
Ph: (509) 397-5743 |
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