Celine Siddall, RD in Fairbanks, AK - Medicare Dietitian, Registered Provider

Celine Siddall, RD is a medicare enrolled "Dietitian, Registered" provider in Fairbanks, Alaska. Her current practice location is 1717 W Cowles St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 451-6682.

Celine Siddall is licensed to practice in Alaska (license number 114458) 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 1538614862.

Contact Information

	Celine Siddall, RD
	1717 W Cowles St, Fairbanks, AK 99701-5926
	(907) 451-6682
	(907) 459-3811

Map and Direction

Healthcare Provider's Profile

Full Name	Celine Siddall
Gender	Female
Speciality	Dietitian, Registered
Location	1717 W Cowles St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538614862
Provider Enumeration Date: 08/16/2016
Last Update Date: 08/16/2016

Medicare PECOS Information:

PECOS PAC ID: 7618257783
Enrollment ID: I20161207000033

Medical Identifiers

Medical identifiers for Celine Siddall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538614862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	114458 (Alaska)	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. Celine Siddall allows following entities to bill medicare on her behalf.

Provider Name	Tanana Chiefs Conference
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954

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. Celine Siddall 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
Celine Siddall, RD 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682	Celine Siddall, RD 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682

Reviews and Comments

Dietitian, Registered in Fairbanks, AK

Anne Burtness, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-451-6682 Fax: 907-459-3811
Mrs. Cindy Jane Salmon, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 828 Crossman Rd, Fairbanks, AK 99712 Phone: 907-457-6688 Fax: 907-782-4232
Ellen Elizabeth Mcewen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 605 Chief Thomas Dr, Fairbanks, AK 99709 Phone: 907-615-8142
Nutrawellness Works, Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Blackberry Dr, Fairbanks, AK 99712 Phone: 907-699-7799 Fax: 907-459-8201
Alcan Medical Group Llc Dietitian Medicare: Medicare Enrolled Practice Location: 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701 Phone: 303-472-6424
Laurie Jeanne Struthers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop Street, Suite 122, Fairbanks, AK 99701 Phone: 907-458-6400 Fax: 907-458-6405
Shelby A Braun, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 Fax: 907-459-3526

Celine Siddall, RD - Medicare Dietitian in Fairbanks, AK