Kerri Rachelle, RDN is a medicare enrolled "Dietitian, Registered - Nutrition, Metabolic" provider in Palmyra, Virginia. Her current practice location is
800 Jefferson Dr, Palmyra, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 906-9196.
Kerri Rachelle is licensed to practice in Virginia (license number 954912) 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 1508370289.
Healthcare Provider's Profile
Full Name | Kerri Rachelle |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Metabolic |
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Location | 800 Jefferson Dr, Palmyra, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508370289
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002357878
- Enrollment ID: I20240919002639
Medical Identifiers
Medical identifiers for Kerri Rachelle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508370289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 954912 (Virginia) | Secondary |
133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | 954912 (Virginia) | Secondary |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 954912 (Virginia) | 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. Kerri Rachelle allows following entities to bill medicare on her behalf.
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
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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. Kerri Rachelle 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 |
Kerri Rachelle, RDN 1880 Clay Dr, Crozet, VA 22932-2880 Ph: (434) 906-9196 | Kerri Rachelle, RDN 800 Jefferson Dr, Palmyra, VA 22963-3240 Ph: (434) 906-9196 |
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