Jostlyn Marie Bomhard, RD in Dothan, AL - Medicare Dietitian, Registered Provider

Jostlyn Marie Bomhard, RD is a medicare enrolled "Dietitian, Registered" provider in Dothan, Alabama. Her current practice location is 3113 Wesley Way Ste 2, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 699-8175.

Jostlyn Marie Bomhard is licensed to practice in Alabama (license number 2728) 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 1275263808.

Contact Information

	Jostlyn Marie Bomhard, RD
	3113 Wesley Way Ste 2, Dothan, AL 36305-2004
	(334) 699-8175
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jostlyn Marie Bomhard
Gender	Female
Speciality	Dietitian, Registered
Location	3113 Wesley Way Ste 2, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275263808
Provider Enumeration Date: 06/15/2022
Last Update Date: 06/15/2022

Medicare PECOS Information:

PECOS PAC ID: 3072995414
Enrollment ID: I20220802002801

Medical Identifiers

Medical identifiers for Jostlyn Marie Bomhard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275263808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2728 (Alabama)	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. Jostlyn Marie Bomhard allows following entities to bill medicare on her behalf.

Provider Name	Jessica Byrd White, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891332904 PECOS PAC ID: 1759710254 Enrollment ID: O20200404000005

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. Jostlyn Marie Bomhard 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
Jostlyn Marie Bomhard, RD 3113 Wesley Way Ste 2, Dothan, AL 36305-2004 Ph: (334) 699-8175	Jostlyn Marie Bomhard, RD 3113 Wesley Way Ste 2, Dothan, AL 36305-2004 Ph: (334) 699-8175

Reviews and Comments

Dietitian, Registered in Dothan, AL

Emma Leigh Hannon, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 795 Ross Clark Cir, Dothan, AL 36303 Phone: 334-678-5041
Miss Angelia Marie Arnold, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Pineapple Pathway, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 400 Westbrook Rd, Dothan, AL 36303 Phone: 904-451-7689
Jennifer Thompson, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1600 Whatley Drive, Suite 2, Dothan, AL 36303 Phone: 334-790-0734
Treva T Eddleman, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3113 Wesley Way Ste 2, Dothan, AL 36305 Phone: 334-699-8175
Hope Boyd, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 Royale Orleans Ct, Dothan, AL 36305 Phone: 334-714-3568
Alexa Sophia Calvert, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3113 Wesley Way Ste 2, Dothan, AL 36305 Phone: 479-739-6664

Jostlyn Marie Bomhard, RD - Medicare Dietitian in Dothan, AL