Eat Well To Be Well, Llc is a medicare enrolled "Dietitian, Registered" provider in Poland, Ohio. Their current practice location is
819 Southwestern Run, Poland, Ohio. You can reach out to their office (for appointments etc.) via phone at
(330) 550-3655.
Eat Well To Be Well, Llc is licensed to practice in Ohio (license number 884534) and it also participates in the medicare program. Eat Well To Be Well, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013388693.
Healthcare Provider's Profile
| Full Name | Eat Well To Be Well, Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 819 Southwestern Run, Poland, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013388693
- Provider Enumeration Date: 10/08/2015
- Last Update Date: 10/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 7618287277
- Enrollment ID: O20151111000013
Medical Identifiers
Medical identifiers for Eat Well To Be Well, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013388693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 884534 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eat Well To Be Well, Llc acts as a billing entity for following providers:
| Provider Name | Kelly L Scott |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1104222652
PECOS PAC ID: 8527378181
Enrollment ID: I20151111000865 |
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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. Eat Well To Be Well, Llc 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 |
|---|
Eat Well To Be Well, Llc
1755 Island Dr,
Poland, OH 44514-5603
Ph: (330) 550-3655 | Eat Well To Be Well, Llc
819 Southwestern Run,
Poland, OH 44514-3688
Ph: (330) 550-3655 |
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