Holly Nicole Weare, RD in Lebanon, OR - Medicare Dietitian, Registered Provider

Holly Nicole Weare, RD is a medicare enrolled "Dietitian, Registered" provider in Lebanon, Oregon. Her current practice location is 525 N Santiam Hwy, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 451-7122.

Holly Nicole Weare is licensed to practice in Oregon (license number 10164585) 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 1902253164.

Contact Information

	Holly Nicole Weare, RD
	525 N Santiam Hwy, Lebanon, OR 97355-4363
	(541) 451-7122
	(541) 451-7080

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Nicole Weare
Gender	Female
Speciality	Dietitian, Registered
Location	525 N Santiam Hwy, Lebanon, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902253164
Provider Enumeration Date: 05/18/2016
Last Update Date: 05/18/2016

Medicare PECOS Information:

PECOS PAC ID: 4688060791
Enrollment ID: I20220329001958

Medical Identifiers

Medical identifiers for Holly Nicole Weare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902253164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	10164585 (Oregon)	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. Holly Nicole Weare allows following entities to bill medicare on her behalf.

Provider Name	Coquille Valley Hospital District
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530

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. Holly Nicole Weare 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
Holly Nicole Weare, RD 525 N Santiam Hwy, Lebanon, OR 97355-4363 Ph: (541) 451-7122	Holly Nicole Weare, RD 525 N Santiam Hwy, Lebanon, OR 97355-4363 Ph: (541) 451-7122

Reviews and Comments

Dietitian, Registered in Lebanon, OR

Cheryl Teschner, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101 Fax: 541-451-7862
Brian Scott Hakes, DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 32675 Merrill Ln, Lebanon, OR 97355 Phone: 541-409-6375
Ms. Angela M Smith, RD, LD, CDM Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101 Fax: 541-451-7862
Sarah J Madison, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101 Fax: 541-451-7862
Kayleigh Mang, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 360-258-2101
Mrs. Angie Marie Frederic, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7197 Fax: 541-451-6304
Mrs. Athena Nicole Nofziger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6306 Fax: 541-451-7080

Holly Nicole Weare, RD - Medicare Dietitian in Lebanon, OR