Conner Yoder, RDN, LD in Fort Wayne, IN - Medicare Dietitian, Registered Provider

Conner Yoder, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Fort Wayne, Indiana. His current practice location is 9804 Acacia Psge, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 479-0080.

Conner Yoder is licensed to practice in Indiana (license number 37002960A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275090094.

Contact Information

	Conner Yoder, RDN, LD
	9804 Acacia Psge, Fort Wayne, IN 46835-9143
	(260) 479-0080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Conner Yoder
Gender	Male
Speciality	Dietitian, Registered
Location	9804 Acacia Psge, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275090094
Provider Enumeration Date: 02/28/2019
Last Update Date: 10/30/2022

Medicare PECOS Information:

PECOS PAC ID: 2961743612
Enrollment ID: I20190408001471

Medical Identifiers

Medical identifiers for Conner Yoder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275090094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	08691 (Ohio)	Secondary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	37002960A (Indiana)	Secondary
133VN1005X	Dietitian, Registered - Nutrition, Renal	37002960A (Indiana)	Secondary
133V00000X	Dietitian, Registered	37002960A (Indiana)	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. Conner Yoder allows following entities to bill medicare on his behalf.

Provider Name	Community Memorial Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912

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. Conner Yoder 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
Conner Yoder, RDN, LD 9804 Acacia Psge, Fort Wayne, IN 46835-9143 Ph: (260) 479-0080	Conner Yoder, RDN, LD 9804 Acacia Psge, Fort Wayne, IN 46835-9143 Ph: (260) 479-0080

Reviews and Comments

Dietitian, Registered in Fort Wayne, IN

Mrs. Alyce S Yoder, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11104 Parkview Circle Dr, Suite 330, Fort Wayne, IN 46845 Phone: 888-543-6397
Maria Krach, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2515 Mill Pond Ct., Fort Wayne, IN 46804 Phone: 260-436-1312 Fax: 260-436-1312
Laverne A Sullivan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057
Mrs. Katherine R Capen, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057
Shawn L Quinn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8028 Carnegie Blvd, Suite 250, Fort Wayne, IN 46804 Phone: 260-373-7872 Fax: 260-755-6233
Bonnie L. Gunckel, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4210 Flagstaff Cv, Fort Wayne, IN 46815 Phone: 260-489-9009 Fax: 260-489-5057
Tiane Bianski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 Phone: 260-385-4123

Conner Yoder, RDN, LD - Medicare Dietitian in Fort Wayne, IN