Chad Hetherwick, MS, RDN in Prescott Valley, AZ - Medicare Registered Dietitian Or Nutrition Professional Provider

Chad Hetherwick, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Prescott Valley, Arizona. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. He is a member of the group practice Prairie View Creations Llc and his current practice location is 8508 N Prairie Vw, Prescott Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 772-8652.

Chad Hetherwick is licensed to practice in * (Not Available) (license number 960912) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104023969.

Contact Information

	Chad Hetherwick, MS, RDN
	8508 N Prairie Vw, Prescott Valley, AZ 86315-9089
	(928) 772-8652
	(928) 772-8078

Map and Direction

Healthcare Provider's Profile

Full Name	Chad Hetherwick
Gender	Male
Speciality	Registered Dietitian Or Nutrition Professional
Experience	21 Years
Location	8508 N Prairie Vw, Prescott Valley, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chad Hetherwick graduated from medical school in 2004

NPI Data:

NPI Number: 1104023969
Provider Enumeration Date: 06/27/2007
Last Update Date: 11/03/2020

Medicare PECOS Information:

PECOS PAC ID: 7012937196
Enrollment ID: I20051205000283

Medical Identifiers

Medical identifiers for Chad Hetherwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104023969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	(* (Not Available))	Secondary
133VN1005X	Dietitian, Registered - Nutrition, Renal	(* (Not Available))	Secondary
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	960912 (* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prairie View Creations Llc	8022420066	2

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. Chad Hetherwick allows following entities to bill medicare on his behalf.

Provider Name	Yavapai Community Hospital Association
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902897820 PECOS PAC ID: 6608777024 Enrollment ID: O20040119000405

Provider Name	Prairie View Creations Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063979961 PECOS PAC ID: 8022420066 Enrollment ID: O20201215002285

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. Chad Hetherwick 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
Chad Hetherwick, MS, RDN Po Box 10214, Prescott, AZ 86304-0214 Ph: (928) 772-8652	Chad Hetherwick, MS, RDN 8508 N Prairie Vw, Prescott Valley, AZ 86315-9089 Ph: (928) 772-8652

Reviews and Comments

Dietitian, Registered in Prescott Valley, AZ

Prairie View Creations Llc Dietitian Medicare: Medicare Enrolled Practice Location: 8508 N Prairie Vw, Prescott Valley, AZ 86315 Phone: 928-772-8652 Fax: 928-772-8078
Kristin Lewis, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8508 N Prairie Vw, Prescott Valley, AZ 86315 Phone: 928-772-8652 Fax: 928-772-8078
Kelly Grace Aldrich, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6717 E 2nd St, Ste. D, Prescott Valley, AZ 86314 Phone: 928-771-3560 Fax: 928-771-3542
Eon Consulting Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5835 N Elton Pl, Prescott Valley, AZ 86314 Phone: 923-300-1542
Kristina Velasquez, RD, LD, CNSC. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3131 N Main St Apt A312, Prescott Valley, AZ 86314 Phone: 505-515-5783
Mrs. Elisa Olivier-nielsen, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5835 N Elton Pl, Prescott Valley, AZ 86314 Phone: 923-300-1542

Chad Hetherwick, MS, RDN - Medicare Dietitian in Prescott Valley, AZ