Jennifer G Lincecum, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Rock Valley, Iowa. Her current practice location is
1202 21st Ave, Rock Valley, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 476-8000.
Jennifer G Lincecum is licensed to practice in Iowa (license number 001857) 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 1760622088.
Healthcare Provider's Profile
| Full Name | Jennifer G Lincecum |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1202 21st Ave, Rock Valley, Iowa |
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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: 1760622088
- Provider Enumeration Date: 02/26/2009
- Last Update Date: 02/26/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789812223
- Enrollment ID: I20140108001398
Medical Identifiers
Medical identifiers for Jennifer G Lincecum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760622088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 001857 (Iowa) | 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 G Lincecum allows following entities to bill medicare on her behalf.
| Provider Name | Sioux Valley Memorial Hospital Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083610190
PECOS PAC ID: 4880501881
Enrollment ID: O20040317001463 |
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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 G Lincecum 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 G Lincecum, RD, LD
103 Mill Pond Rd,
Rock Rapids, IA 51246-2083
Ph: () - | Jennifer G Lincecum, RD, LD
1202 21st Ave,
Rock Valley, IA 51247-1420
Ph: (712) 476-8000 |
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