Holly Retherford, RDN, LDN - Medicare Dietitian in Gibson City, IL

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Holly Retherford, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Gibson City, Illinois. Her current practice location is 1120 N Melvin St, Gibson City, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 784-2865.

Holly Retherford is licensed to practice in * (Not Available) (license number ) 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 1689200750.

Contact Information

Holly Retherford, RDN, LDN
1120 N Melvin St,
Gibson City, IL 60936-1477
(217) 784-2865
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameHolly Retherford
GenderFemale
SpecialityDietitian, Registered
Location1120 N Melvin St, Gibson City, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689200750
  • Provider Enumeration Date: 03/20/2020
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678958600
  • Enrollment ID: I20220912002820

Medical Identifiers

Medical identifiers for Holly Retherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689200750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))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 Retherford allows following entities to bill medicare on her behalf.
Provider NameGibson Community Hospital Association
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114935681
PECOS PAC ID: 5092703124
Enrollment ID: O20040505001293

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 Retherford 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 AddressPractice Location Address
Holly Retherford, RDN, LDN
1120 N Melvin St,
Gibson City, IL 60936-1477

Ph: (217) 784-4251		Holly Retherford, RDN, LDN
1120 N Melvin St,
Gibson City, IL 60936-1477

Ph: (217) 784-2865

Reviews and Comments


Dietitian, Registered in Gibson City, IL

Ms. Kathy Link, MS, RD, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 722 N Melvin St, Gibson City, IL 60936
Phone: 217-249-5881    Fax: 217-784-8559

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.