Jennifer Ellen Vermillion, BASC, LRD is a medicare enrolled "Dietitian, Registered" provider in Wahpeton, North Dakota. Her current practice location is
332 2nd Ave N, Wahpeton, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 642-7000.
Jennifer Ellen Vermillion is licensed to practice in North Dakota (license number 1361) 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 1841938065.
Healthcare Provider's Profile
| Full Name | Jennifer Ellen Vermillion |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 332 2nd Ave N, Wahpeton, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841938065
- Provider Enumeration Date: 05/26/2022
- Last Update Date: 10/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981071818
- Enrollment ID: I20221107002302
Medical Identifiers
Medical identifiers for Jennifer Ellen Vermillion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841938065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1361 (North Dakota) | 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. Jennifer Ellen Vermillion allows following entities to bill medicare on her behalf.
| Provider Name | Sanford Medical Center Fargo |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031 |
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| Provider Name | Sanford Health Network North |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429 |
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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. Jennifer Ellen Vermillion 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 |
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Jennifer Ellen Vermillion, BASC, LRD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (702) 680-3173 | Jennifer Ellen Vermillion, BASC, LRD
332 2nd Ave N,
Wahpeton, ND 58075-4528
Ph: (701) 642-7000 |
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