James Edward Severino, DIETITIAN is a medicare enrolled "Dietitian, Registered" provider in Elkins, West Virginia. His current practice location is
812 Gorman Avenue, Elkins, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 636-3300.
James Edward Severino is licensed to practice in West Virginia (license number 53) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942219076.
Healthcare Provider's Profile
Full Name | James Edward Severino |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 812 Gorman Avenue, Elkins, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942219076
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 01/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678578838
- Enrollment ID: I20060921000130
Medical Identifiers
Medical identifiers for James Edward Severino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942219076 | NPI | - | NPPES |
P00398765 | Other | WV | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 53 (West Virginia) | 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. James Edward Severino allows following entities to bill medicare on his behalf.
Provider Name | Davis Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
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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. James Edward Severino 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 |
James Edward Severino, DIETITIAN 812 Gorman Avenue, Elkins, WV 26241 Ph: (304) 636-3300 | James Edward Severino, DIETITIAN 812 Gorman Avenue, Elkins, WV 26241 Ph: (304) 636-3300 |
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