Katie Jo Hartung, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Durand, Wisconsin. Her current practice location is
1220 3rd Ave W, Durand, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 672-4211.
Katie Jo Hartung is licensed to practice in Wisconsin (license number 86024510) 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 1083187272.
Healthcare Provider's Profile
| Full Name | Katie Jo Hartung |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1220 3rd Ave W, Durand, Wisconsin |
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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: 1083187272
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 01/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 2062838451
- Enrollment ID: I20200817000663
Medical Identifiers
Medical identifiers for Katie Jo Hartung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083187272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86024510 (Wisconsin) | 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. Katie Jo Hartung allows following entities to bill medicare on her behalf.
| Provider Name | Chippewa Valley Hospital & Oakview Care Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659471068
PECOS PAC ID: 6901700517
Enrollment ID: O20031125000470 |
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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. Katie Jo Hartung 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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Katie Jo Hartung, MS, RD
1220 3rd Ave W,
Durand, WI 54736-1600
Ph: (715) 672-4211 | Katie Jo Hartung, MS, RD
1220 3rd Ave W,
Durand, WI 54736-1600
Ph: (715) 672-4211 |
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