Brittany A Potter, RD CDCES is a medicare enrolled "Dietitian, Registered" provider in Jasper, Indiana. Her current practice location is
1536 Gregory Ln, Jasper, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 887-4521.
Brittany A Potter is licensed to practice in Indiana (license number 37002449A) 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 1124485552.
Healthcare Provider's Profile
Full Name | Brittany A Potter |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1536 Gregory Ln, Jasper, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124485552
- Provider Enumeration Date: 01/15/2016
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890131544
- Enrollment ID: I20240315002828
Medical Identifiers
Medical identifiers for Brittany A Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124485552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 275800 (Kentucky) | Secondary |
133V00000X | Dietitian, Registered | ND11182 (Florida) | Secondary |
133V00000X | Dietitian, Registered | 37002449A (Indiana) | 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 A Potter 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. Brittany A Potter 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 |
Brittany A Potter, RD CDCES 1536 Gregory Ln, Jasper, IN 47546-9113 Ph: (812) 887-4521 | Brittany A Potter, RD CDCES 1536 Gregory Ln, Jasper, IN 47546-9113 Ph: (812) 887-4521 |
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