Elisabeth Stephens, in Twin Falls, ID - Medicare Dietitian, Registered Provider

Elisabeth Stephens, is a medicare enrolled "Dietitian, Registered" provider in Twin Falls, Idaho. Her current practice location is 801 Pole Line Rd W Rm H1155, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 814-1016.

Elisabeth Stephens is licensed to practice in Idaho (license number D-1463) 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 1639876345.

Contact Information

	Elisabeth Stephens,
	801 Pole Line Rd W Rm H1155, Twin Falls, ID 83301-5810
	(208) 814-1016
	(208) 814-7212

Map and Direction

Healthcare Provider's Profile

Full Name	Elisabeth Stephens
Gender	Female
Speciality	Dietitian, Registered
Location	801 Pole Line Rd W Rm H1155, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639876345
Provider Enumeration Date: 02/13/2023
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 1557711934
Enrollment ID: I20231227002079

Medical Identifiers

Medical identifiers for Elisabeth Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639876345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-1463 (Idaho)	Primary
133V00000X	Dietitian, Registered	(Idaho)	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. Elisabeth Stephens allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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. Elisabeth Stephens 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
Elisabeth Stephens, 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Elisabeth Stephens, 801 Pole Line Rd W Rm H1155, Twin Falls, ID 83301-5810 Ph: (208) 814-1016

Reviews and Comments

Dietitian, Registered in Twin Falls, ID

Abbigail Jean Sundell, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8780
Shalissa Marie Tomkinson, Dietitian Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W Rm H1155, Twin Falls, ID 83301 Phone: 208-814-1016 Fax: 208-814-1931
Evelyn Claire Wiltse, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W Rm H1155, Twin Falls, ID 83301 Phone: 208-814-1016 Fax: 208-814-7212
Emmalee Calvert, Dietitian Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W Rm H1155, Twin Falls, ID 83301 Phone: 208-814-1016 Fax: 208-814-1931
Kyli Gough, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 496 Shoup Ave W Ste A, Twin Falls, ID 83301 Phone: 208-814-9182
Sonamarivell Granados, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4120 Fax: 208-814-4906
Sarah Ann Renaldi, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1016 Fax: 208-814-1931

Elisabeth Stephens, - Medicare Dietitian in Twin Falls, ID