Connie Bloedel, CERTIFIED DIETICIAN in Green Bay, WI - Medicare Dietitian, Registered Provider

Connie Bloedel, CERTIFIED DIETICIAN is a medicare enrolled "Dietitian, Registered" provider in Green Bay, Wisconsin. Her current practice location is 1727 Shawano Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 272-1010.

Connie Bloedel is licensed to practice in Wisconsin (license number 338-29) 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 1093955411.

Contact Information

	Connie Bloedel, CERTIFIED DIETICIAN
	1727 Shawano Ave, Green Bay, WI 54303-3268
	(920) 272-1010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connie Bloedel
Gender	Female
Speciality	Dietitian, Registered
Location	1727 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093955411
Provider Enumeration Date: 02/25/2009
Last Update Date: 02/25/2009

Medicare PECOS Information:

PECOS PAC ID: 4587636949
Enrollment ID: I20040806001236

Medical Identifiers

Medical identifiers for Connie Bloedel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093955411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	338-29 (Wisconsin)	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. Connie Bloedel allows following entities to bill medicare on her behalf.

Provider Name	St Clare Memorial Hospital Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037

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. Connie Bloedel 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
Connie Bloedel, CERTIFIED DIETICIAN 1727 Shawano Ave, Green Bay, WI 54303-3268 Ph: (920) 272-1010	Connie Bloedel, CERTIFIED DIETICIAN 1727 Shawano Ave, Green Bay, WI 54303-3268 Ph: (920) 272-1010

Reviews and Comments

Dietitian, Registered in Green Bay, WI

Brooke Winch, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 704 S Webster Ave Ste 501, Green Bay, WI 54301 Phone: 920-433-6050
Bonnie Marie Cleven, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1207 Grignon St, Green Bay, WI 54301 Phone: 920-857-9093
Anne Marie Vollrath, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700
Amber M Langill, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500
Lee A Hyrkas, RD,CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 Fax: 920-430-4747
Kelsey Stoeger, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2740

Connie Bloedel, CERTIFIED DIETICIAN - Medicare Dietitian in Green Bay, WI