Brittney L Moutray, RD LDN CDE is a
Dietitian, Registered based in Forsyth, Illinois. Brittney L Moutray is licensed to practice in Illinois (license number 164005188) and her current practice location is
241 W Weaver Rd, Suite 210, Forsyth, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 876-5370.
NPI number for Brittney L Moutray is 1114234085 and her current mailing address is 925 West St, Peru, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114234085.
Healthcare Provider's Profile
Full Name | Brittney L Moutray |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 241 W Weaver Rd, Forsyth, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114234085
- Provider Enumeration Date: 09/13/2010
- Last Update Date: 06/11/2018
Medical Identifiers
Medical identifiers for Brittney L Moutray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114234085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164005188 (Illinois) | Primary |
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. Brittney L Moutray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brittney L Moutray, RD LDN CDE 925 West St, Peru, IL 61354-2757 Ph: (815) 780-3560 | Brittney L Moutray, RD LDN CDE 241 W Weaver Rd, Suite 210, Forsyth, IL 62535 Ph: (217) 876-5370 |
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