Gwen Michelle Horter, is a medicare enrolled "Dietitian, Registered" provider in Perham, Minnesota. Her current practice location is
1000 Coney St W, Perham, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 347-4500.
Gwen Michelle Horter is licensed to practice in Minnesota (license number 2819) 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 1588936660.
Healthcare Provider's Profile
| Full Name | Gwen Michelle Horter |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1000 Coney St W, Perham, 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: 1588936660
- Provider Enumeration Date: 02/03/2012
- Last Update Date: 02/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 2163879891
- Enrollment ID: I20231116003180
Medical Identifiers
Medical identifiers for Gwen Michelle Horter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588936660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2819 (Minnesota) | 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. Gwen Michelle Horter allows following entities to bill medicare on her behalf.
| Provider Name | Perham Hospital District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932113768
PECOS PAC ID: 2264327766
Enrollment ID: O20040216000182 |
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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. Gwen Michelle Horter 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 |
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Gwen Michelle Horter,
834 Shorewood Dr,
Detroit Lakes, MN 56501-4905
Ph: (701) 520-0855 | Gwen Michelle Horter,
1000 Coney St W,
Perham, MN 56573-2102
Ph: (218) 347-4500 |
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