Kelly Elizabeth Spittler, RD,LD is a medicare enrolled "Dietitian, Registered" provider in Valdez, Alaska. Her current practice location is
911 Meals Avenue, Valdez, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 835-2852.
Kelly Elizabeth Spittler is licensed to practice in Alaska (license number 123912) 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 1700388865.
Healthcare Provider's Profile
| Full Name | Kelly Elizabeth Spittler |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 911 Meals Avenue, Valdez, Alaska |
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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: 1700388865
- Provider Enumeration Date: 03/05/2018
- Last Update Date: 09/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294098653
- Enrollment ID: I20180417001703
Medical Identifiers
Medical identifiers for Kelly Elizabeth Spittler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700388865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 123912 (Alaska) | 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. Kelly Elizabeth Spittler allows following entities to bill medicare on her behalf.
| Provider Name | Southeast Alaska Regional Health Consortium |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631 |
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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. Kelly Elizabeth Spittler 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 |
|---|
Kelly Elizabeth Spittler, RD,LD
Po Box 550,
Valdez, AK 99686-0550
Ph: (907) 835-2249 | Kelly Elizabeth Spittler, RD,LD
911 Meals Avenue,
Valdez, AK 99686
Ph: (907) 835-2852 |
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