Jade N Manczuk, RD, LD in Springfield, MO - Medicare Dietitian, Registered Provider

Jade N Manczuk, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Springfield, Missouri. Her current practice location is 3231 S. National, Suite 430, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 888-5660.

Jade N Manczuk is licensed to practice in Missouri (license number 2012024502) 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 1124377395.

Contact Information

	Jade N Manczuk, RD, LD
	3231 S. National, Suite 430, Springfield, MO 65807
	(417) 888-5660
	(417) 888-6793

Map and Direction

Healthcare Provider's Profile

Full Name	Jade N Manczuk
Gender	Female
Speciality	Dietitian, Registered
Location	3231 S. National, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124377395
Provider Enumeration Date: 09/04/2012
Last Update Date: 09/04/2012

Medicare PECOS Information:

PECOS PAC ID: 7416107925
Enrollment ID: I20121018000364

Medical Identifiers

Medical identifiers for Jade N Manczuk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124377395	NPI	-	NPPES
440552485	Other	MO	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2012024502 (Missouri)	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. Jade N Manczuk allows following entities to bill medicare on her behalf.

Provider Name	Advocates For A Healthy Community Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631

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. Jade N Manczuk 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
Jade N Manczuk, RD, LD P.o. Box 504274, St. Louis, MO 63150-4274 Ph: (417) 820-2000	Jade N Manczuk, RD, LD 3231 S. National, Suite 430, Springfield, MO 65807 Ph: (417) 888-5660

Reviews and Comments

Dietitian, Registered in Springfield, MO

Frances H Bunch, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-820-2000
Noah Lee Alldredge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 E Bennett St Ste D, Springfield, MO 65804 Phone: 417-881-1900 Fax: 417-881-1237
Mr. Samuel Bryan Yarrow, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St Ste 203, Springfield, MO 65807 Phone: 417-269-3904
Rebecca Sue Holcomb, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3031
Dana S Nippes, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000
Janice M Long-connelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2474 Fax: 417-820-4539
Emily Bigley, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St, Springfield, MO 65807 Phone: 417-269-3900

Jade N Manczuk, RD, LD - Medicare Dietitian in Springfield, MO