Kimberly Anne Landsberg, MS, RDN, LD in Eagle, ID - Medicare Registered Dietitian Or Nutrition Professional Provider

Kimberly Anne Landsberg, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Eagle, Idaho. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 1488 N Sunup Way, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 559-8319.

Kimberly Anne Landsberg is licensed to practice in Virginia (license number 809925) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629613989.

Contact Information

	Kimberly Anne Landsberg, MS, RDN, LD
	1488 N Sunup Way, Eagle, ID 83616-7023
	(208) 559-8319
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Anne Landsberg
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	25 Years
Location	1488 N Sunup Way, Eagle, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Anne Landsberg graduated from medical school in 1999

NPI Data:

NPI Number: 1629613989
Provider Enumeration Date: 11/11/2019
Last Update Date: 11/11/2019

Medicare PECOS Information:

PECOS PAC ID: 4880020650
Enrollment ID: I20200214001921

Medical Identifiers

Medical identifiers for Kimberly Anne Landsberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629613989	NPI	-	NPPES
809925	Other	VA	ACADEMY OF NUTRITION AND DIETETICS
D-659	Other	ID	IDAHO BOARD OF MEDICINE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	809925 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

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. Kimberly Anne Landsberg allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Kimberly Anne Landsberg 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
Kimberly Anne Landsberg, MS, RDN, LD 1488 N Sunup Way, Eagle, ID 83616-7023 Ph: (208) 559-8319	Kimberly Anne Landsberg, MS, RDN, LD 1488 N Sunup Way, Eagle, ID 83616-7023 Ph: (208) 559-8319

Reviews and Comments

Dietitian, Registered in Eagle, ID

Balanced Bites Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862 Fax: 208-668-8871
Mrs. Tracy Bento, RD, CDCES, CSOWM Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862
Kirsten Ceily Thomas, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 110, Eagle, ID 83616 Phone: 208-274-9580
Biyu Yang, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4727 W Maricopa Dr, Eagle, ID 83616 Phone: 949-698-8622
Idaho Nutrition Associates, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1013 E Winding Creek Dr Ste 102, Eagle, ID 83616 Phone: 208-250-5657
Maryanne Hartman Cunningham, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 735 W Watersford Dr, Eagle, ID 83616 Phone: 208-867-1763
Deena M Lajoie, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3797 N Croft Way, Eagle, ID 83616 Phone: 208-250-5657

Kimberly Anne Landsberg, MS, RDN, LD - Medicare Dietitian in Eagle, ID