Kathryn Jean Mock, RDN is a medicare enrolled "Dietitian, Registered" provider in Conrad, Montana. Her current practice location is
805 Sunset Blvd, Conrad, Montana. You can reach out to her office (for appointments etc.) via phone at
(616) 638-0137.
Kathryn Jean Mock is licensed to practice in Montana (license number 98837) 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 1154996775.
Healthcare Provider's Profile
| Full Name | Kathryn Jean Mock |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 805 Sunset Blvd, Conrad, Montana |
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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: 1154996775
- Provider Enumeration Date: 05/25/2021
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082014824
- Enrollment ID: I20210615002830
Medical Identifiers
Medical identifiers for Kathryn Jean Mock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154996775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 98837 (Montana) | 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. Kathryn Jean Mock allows following entities to bill medicare on her behalf.
| Provider Name | Kalispell Regional Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235333139
PECOS PAC ID: 5294644381
Enrollment ID: O20031122000142 |
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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. Kathryn Jean Mock 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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Kathryn Jean Mock, RDN
135 W Washington St,
Kalispell, MT 59901-3957
Ph: () - | Kathryn Jean Mock, RDN
805 Sunset Blvd,
Conrad, MT 59425-1717
Ph: (616) 638-0137 |
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