Celeste Windham, RDN is a medicare enrolled "Dietitian, Registered" provider in Canyon Lake, Texas. Her current practice location is
126 Sitting Bull Trl, Canyon Lake, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 365-5236.
Celeste Windham is licensed to practice in * (Not Available) (license number ) 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 1730820507.
Healthcare Provider's Profile
| Full Name | Celeste Windham |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 126 Sitting Bull Trl, Canyon Lake, Texas |
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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: 1730820507
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567832611
- Enrollment ID: I20230105002179
Medical Identifiers
Medical identifiers for Celeste Windham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730820507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (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. Celeste Windham allows following entities to bill medicare on her behalf.
| Provider Name | Jan Tilley & Associates |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851412050
PECOS PAC ID: 9234209990
Enrollment ID: O20080606000388 |
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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. Celeste Windham 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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Celeste Windham, RDN
126 Sitting Bull Trl,
Canyon Lake, TX 78133-9804
Ph: () - | Celeste Windham, RDN
126 Sitting Bull Trl,
Canyon Lake, TX 78133-9804
Ph: (210) 365-5236 |
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