Flower Star, is a medicare enrolled "Dietitian, Registered" provider in Othello, Washington. Her current practice location is
1515 E Columbia St, Othello, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 488-5256.
Flower Star is licensed to practice in Washington (license number DI61081752) 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 1124646260.
Healthcare Provider's Profile
Full Name | Flower Star |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1515 E Columbia St, Othello, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124646260
- Provider Enumeration Date: 07/06/2020
- Last Update Date: 07/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729492962
- Enrollment ID: I20210128002249
Medical Identifiers
Medical identifiers for Flower Star such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124646260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DI61081752 (Washington) | 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. Flower Star allows following entities to bill medicare on her behalf.
Provider Name | Columbia Basin Health Association |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1528316379 PECOS PAC ID: 4486564309 Enrollment ID: O20040209000250 |
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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. Flower Star 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 |
Flower Star, 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 | Flower Star, 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 |
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