Johannah Schrader, RD, LD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Kearney, Missouri. Her current practice location is
14919 Plattsburg Rd, Kearney, Missouri. You can reach out to her office (for appointments etc.) via phone at
(207) 838-5549.
Johannah Schrader is licensed to practice in Missouri (license number 2021002909) 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 1225581812.
Healthcare Provider's Profile
| Full Name | Johannah Schrader |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 14919 Plattsburg Rd, Kearney, Missouri |
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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: 1225581812
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 07/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517202898
- Enrollment ID: I20230824002602
Medical Identifiers
Medical identifiers for Johannah Schrader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225581812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 2021002909 (Missouri) | Secondary |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | 2021002909 (Missouri) | Secondary |
| 133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | 2021002909 (Missouri) | Secondary |
| 133V00000X | Dietitian, Registered | 2021002909 (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. Johannah Schrader allows following entities to bill medicare on her behalf.
| Provider Name | Evergreen Health And Wellness, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982383048
PECOS PAC ID: 1951764828
Enrollment ID: O20230824002385 |
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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. Johannah Schrader 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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Johannah Schrader, RD, LD, CDCES
14919 Plattsburg Rd,
Kearney, MO 64060-8155
Ph: (207) 838-5549 | Johannah Schrader, RD, LD, CDCES
14919 Plattsburg Rd,
Kearney, MO 64060-8155
Ph: (207) 838-5549 |
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