Carly A Secord, RD is a medicare enrolled "Dietitian, Registered" provider in Eaton Rapids, Michigan. Her current practice location is
1500 S Main St, Eaton Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 663-9453.
Carly A Secord is licensed to practice in Michigan (license number 86027704) 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 1285183855.
Healthcare Provider's Profile
Full Name | Carly A Secord |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1500 S Main St, Eaton Rapids, Michigan |
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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: 1285183855
- Provider Enumeration Date: 09/23/2016
- Last Update Date: 09/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 8729360342
- Enrollment ID: I20170116000342
Medical Identifiers
Medical identifiers for Carly A Secord such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285183855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86027704 (Michigan) | 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. Carly A Secord allows following entities to bill medicare on her behalf.
Provider Name | Eaton Rapids Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1588810709 PECOS PAC ID: 5991692634 Enrollment ID: O20040301000307 |
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Provider Name | Eaton Rapids Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1417044660 PECOS PAC ID: 5991692634 Enrollment ID: O20080119000106 |
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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. Carly A Secord 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 |
Carly A Secord, RD 1500 S Main St, Eaton Rapids, MI 48827-1952 Ph: () - | Carly A Secord, RD 1500 S Main St, Eaton Rapids, MI 48827-1952 Ph: (517) 663-9453 |
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