Brooke Seibert, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Woodland, Washington. Her current practice location is
204 Canyon Creek Rd, Woodland, Washington. You can reach out to her office (for appointments etc.) via phone at
(971) 361-8250.
Brooke Seibert is licensed to practice in * (Not Available) (license number 1076966) 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 1982014429.
Healthcare Provider's Profile
| Full Name | Brooke Seibert |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 204 Canyon Creek Rd, Woodland, 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: 1982014429
- Provider Enumeration Date: 05/06/2014
- Last Update Date: 10/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335530807
- Enrollment ID: I20221112000127
Medical Identifiers
Medical identifiers for Brooke Seibert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982014429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 10190614 (Oregon) | Secondary |
| 133V00000X | Dietitian, Registered | 185410 (Alaska) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 1076966 (* (Not Available)) | 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. Brooke Seibert allows following entities to bill medicare on her behalf.
| Provider Name | Dietitians On Demand, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1588308977
PECOS PAC ID: 1850768482
Enrollment ID: O20221110001040 |
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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. Brooke Seibert 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 |
|---|
Brooke Seibert, MS, RDN
204 Canyon Creek Rd,
Woodland, WA 98674-9276
Ph: (971) 361-8250 | Brooke Seibert, MS, RDN
204 Canyon Creek Rd,
Woodland, WA 98674-9276
Ph: (971) 361-8250 |
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