Deirdre Nicole Mcpherson, RDN, LDN, CDCES is a medicare enrolled "Dietitian, Registered" provider in Champlin, Minnesota. Her current practice location is
11717 Emery Village Dr N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 234-6196.
Deirdre Nicole Mcpherson is licensed to practice in California (license number 1092827) 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 1932721610.
Healthcare Provider's Profile
| Full Name | Deirdre Nicole Mcpherson |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 11717 Emery Village Dr N, Champlin, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932721610
- Provider Enumeration Date: 05/15/2020
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901225796
- Enrollment ID: I20241125003867
Medical Identifiers
Medical identifiers for Deirdre Nicole Mcpherson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932721610 | NPI | - | NPPES |
| 3465 | Other | MN | LICENSED DIETITIAN/LICENSED DIETITIAN NUTRITIONIST |
| 32100651 | Other | | CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST |
| 1092827 | Other | | REGISTERED DIETITIAN/REGISTERED DIETITIAN NUTRITIONIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1092827 (California) | 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. Deirdre Nicole Mcpherson allows following entities to bill medicare on her behalf.
| Provider Name | North Memorial Health Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470 |
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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. Deirdre Nicole Mcpherson 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 |
|---|
Deirdre Nicole Mcpherson, RDN, LDN, CDCES
11717 Emery Village Dr N,
Champlin, MN 55316-2489
Ph: (763) 234-6196 | Deirdre Nicole Mcpherson, RDN, LDN, CDCES
11717 Emery Village Dr N,
Champlin, MN 55316-2489
Ph: (763) 234-6196 |
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