Brittany J Poulson, RDN, CD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Grantsville, Utah. Her current practice location is
102 Marciano Way, Grantsville, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 277-0611.
Brittany J Poulson is licensed to practice in Utah (license number 1034638) 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 1881036820.
Healthcare Provider's Profile
| Full Name | Brittany J Poulson |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 102 Marciano Way, Grantsville, Utah |
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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: 1881036820
- Provider Enumeration Date: 07/18/2013
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870942147
- Enrollment ID: I20231212001840
Medical Identifiers
Medical identifiers for Brittany J Poulson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881036820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1034638 (Utah) | 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. Brittany J Poulson allows following entities to bill medicare on her behalf.
| Provider Name | Family First Medical Center, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033314273
PECOS PAC ID: 1052480076
Enrollment ID: O20080516000580 |
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| Provider Name | Precision Medical Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780266288
PECOS PAC ID: 2264831031
Enrollment ID: O20220901000170 |
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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. Brittany J Poulson 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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Brittany J Poulson, RDN, CD, CDCES
Po Box 1171,
Grantsville, UT 84029-1171
Ph: (435) 277-0611 | Brittany J Poulson, RDN, CD, CDCES
102 Marciano Way,
Grantsville, UT 84029-5575
Ph: (435) 277-0611 |
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