Jenna Denise Moore-liester, RD in Colorado Springs, CO - Medicare Dietitian, Registered Provider

Jenna Denise Moore-liester, RD is a medicare enrolled "Dietitian, Registered" provider in Colorado Springs, Colorado. Her current practice location is 6156 Rockville Dr, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 684-5754.

Jenna Denise Moore-liester 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 1538655097.

Contact Information

	Jenna Denise Moore-liester, RD
	6156 Rockville Dr, Colorado Springs, CO 80923-3806
	(719) 684-5754
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Denise Moore-liester
Gender	Female
Speciality	Dietitian, Registered
Location	6156 Rockville Dr, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538655097
Provider Enumeration Date: 07/09/2018
Last Update Date: 01/24/2019

Medicare PECOS Information:

PECOS PAC ID: 4688914401
Enrollment ID: I20190314000381

Medical Identifiers

Medical identifiers for Jenna Denise Moore-liester such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538655097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, 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. Jenna Denise Moore-liester allows following entities to bill medicare on her behalf.

Provider Name	Summit Performance Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003370115 PECOS PAC ID: 3779823596 Enrollment ID: O20190314000342

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. Jenna Denise Moore-liester 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
Jenna Denise Moore-liester, RD 6156 Rockville Dr, Colorado Springs, CO 80923-3806 Ph: (719) 684-5754	Jenna Denise Moore-liester, RD 6156 Rockville Dr, Colorado Springs, CO 80923-3806 Ph: (719) 684-5754

Reviews and Comments

Dietitian, Registered in Colorado Springs, CO

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Jenna Denise Moore-liester, RD - Medicare Dietitian in Colorado Springs, CO