Kristen Rezabek, MS, RD, CD, CDE is a medicare enrolled "Dietitian, Registered" provider in Friday Harbor, Washington. Her current practice location is
1117 Spring St, Friday Harbor, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 378-2141.
Kristen Rezabek is licensed to practice in Washington (license number DI00001380) 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 1831430164.
Healthcare Provider's Profile
| Full Name | Kristen Rezabek |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1117 Spring St, Friday Harbor, Washington |
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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: 1831430164
- Provider Enumeration Date: 03/12/2013
- Last Update Date: 11/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 0840624755
- Enrollment ID: I20200101000011
Medical Identifiers
Medical identifiers for Kristen Rezabek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831430164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DI00001380 (Washington) | 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. Kristen Rezabek allows following entities to bill medicare on her behalf.
| Provider Name | Peacehealth Peace Island Medical Center |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1487917233
PECOS PAC ID: 9335391044
Enrollment ID: O20121204000225 |
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| Provider Name | Peacehealth Peace Island Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508129842
PECOS PAC ID: 9335391044
Enrollment ID: O20130122000273 |
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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. Kristen Rezabek 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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Kristen Rezabek, MS, RD, CD, CDE
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004
Ph: (360) 729-1462 | Kristen Rezabek, MS, RD, CD, CDE
1117 Spring St,
Friday Harbor, WA 98250-9782
Ph: (360) 378-2141 |
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