Donna Stubblefield, is a medicare enrolled "Dietitian, Registered" provider in Winslow, Arizona. Her current practice location is
620 Lee St, Winslow, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 288-8752.
Donna Stubblefield is licensed to practice in Arizona (license number 940097) 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 1750829610.
Healthcare Provider's Profile
| Full Name | Donna Stubblefield |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 620 Lee St, Winslow, Arizona |
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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: 1750829610
- Provider Enumeration Date: 02/10/2017
- Last Update Date: 02/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 4981619178
- Enrollment ID: I20060208000838
Medical Identifiers
Medical identifiers for Donna Stubblefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750829610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 940097 (Arizona) | 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. Donna Stubblefield allows following entities to bill medicare on her behalf.
| Provider Name | North Country Healthcare Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073583472
PECOS PAC ID: 8820981053
Enrollment ID: O20040210001107 |
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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. Donna Stubblefield 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 |
|---|
Donna Stubblefield,
720 W Hillview St,
Winslow, AZ 86047-2433
Ph: (928) 386-8171 | Donna Stubblefield,
620 Lee St,
Winslow, AZ 86047-2435
Ph: (928) 288-8752 |
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