Debra Renee Queen, RD - Medicare Dietitian in Carbondale, IL

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Debra Renee Queen, RD is a medicare enrolled "Dietitian, Registered" provider in Carbondale, Illinois. Her current practice location is 400 S Lewis Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Debra Renee Queen is licensed to practice in Illinois (license number 164.006191) 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 1659423184.

Contact Information

Debra Renee Queen, RD
400 S Lewis Ln,
Carbondale, IL 62901-3547
(618) 519-9200
(618) 519-9961

Map and Direction




Healthcare Provider's Profile

Full NameDebra Renee Queen
GenderFemale
SpecialityDietitian, Registered
Location400 S Lewis Ln, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659423184
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 10/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951834647
  • Enrollment ID: I20241104000080

Medical Identifiers

Medical identifiers for Debra Renee Queen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659423184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1025 (Arkansas)Secondary
133V00000XDietitian, Registered 164.006191 (Illinois)Primary
133V00000XDietitian, Registered LD718 (Oklahoma)Secondary

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. Debra Renee Queen allows following entities to bill medicare on her behalf.
Provider NameShawnee Health Service And Development Corp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639295314
PECOS PAC ID: 1658285671
Enrollment ID: O20031120000454

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. Debra Renee Queen 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 AddressPractice Location Address
Debra Renee Queen, RD
109 California St, Po Box 577,
Carterville, IL 62918

Ph: (618) 519-9200		Debra Renee Queen, RD
400 S Lewis Ln,
Carbondale, IL 62901-3547

Ph: (618) 519-9200

Reviews and Comments


Dietitian, Registered in Carbondale, IL

Samantha Zimmerman, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1385 E Main St, Carbondale, IL 62901
Phone: 618-457-5200    
Southern Illinois Nutrition Specialties
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1350 Cedar Ct, Carbondale, IL 62901
Phone: 618-942-7300    
Ms. Lori Trentacosti, REGISTERED DIETICIAN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-549-5128
Mrs. Stephanie Victoria Wood, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.