Heather G Peebles, LD is a medicare enrolled "Dietitian, Registered" provider in Folkston, Georgia. Her current practice location is
1209 N 3rd St, Folkston, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 287-4875.
Heather G Peebles is licensed to practice in Georgia (license number LD002022) 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 1760419063.
Healthcare Provider's Profile
| Full Name | Heather G Peebles |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1209 N 3rd St, Folkston, Georgia |
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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: 1760419063
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6305887928
- Enrollment ID: I20050513000344
Medical Identifiers
Medical identifiers for Heather G Peebles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760419063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LD002022 (Georgia) | 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. Heather G Peebles allows following entities to bill medicare on her behalf.
| Provider Name | Bulloch County Board Of Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417985060
PECOS PAC ID: 5193710481
Enrollment ID: O20040416000581 |
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| Provider Name | Coffee County Board Of Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952346074
PECOS PAC ID: 7416944087
Enrollment ID: O20040427000232 |
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| Provider Name | Toombs County Board Of Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831112879
PECOS PAC ID: 4183612732
Enrollment ID: O20040504000055 |
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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. Heather G Peebles 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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Heather G Peebles, LD
1101 Church St,
Waycross, GA 31501-3525
Ph: (912) 287-4875 | Heather G Peebles, LD
1209 N 3rd St,
Folkston, GA 31537-1303
Ph: (912) 287-4875 |
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