Kristina Stickley, RDN, LD, CHES in Idaho Falls, ID - Medicare Dietitian, Registered Provider

Kristina Stickley, RDN, LD, CHES is a medicare enrolled "Dietitian, Registered" provider in Idaho Falls, Idaho. Her current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 529-6111.

Kristina Stickley is licensed to practice in Idaho (license number D-1127) 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 1154944288.

Contact Information

	Kristina Stickley, RDN, LD, CHES
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 529-6111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristina Stickley
Gender	Female
Speciality	Dietitian, Registered
Location	3100 Channing Way, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154944288
Provider Enumeration Date: 05/22/2020
Last Update Date: 05/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8325412935
Enrollment ID: I20230322001967

Medical Identifiers

Medical identifiers for Kristina Stickley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154944288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-1127 (Idaho)	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. Kristina Stickley allows following entities to bill medicare on her behalf.

Provider Name	Idaho Falls Community Hospital Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114481447 PECOS PAC ID: 9032441597 Enrollment ID: O20191217002564

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. Kristina Stickley 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
Kristina Stickley, RDN, LD, CHES 3635 Silverstone Dr, Idaho Falls, ID 83401-3583 Ph: () -	Kristina Stickley, RDN, LD, CHES 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111

Reviews and Comments

Dietitian, Registered in Idaho Falls, ID

Rebecca T Sulik, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582
Macey Renae Leatham, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1298 Idaho Ave Apt 1, Idaho Falls, ID 83402 Phone: 208-716-0244
Luana Tomchak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1957 E 17th St, Idaho Falls, ID 83404 Phone: 208-529-2352 Fax: 208-528-3332
Kristine Rane, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6100
Mrs. Laura Cheney Robinson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6125
Leslee Elyse Blanch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E 73rd S, Idaho Falls, ID 83404 Phone: 208-529-1390

Kristina Stickley, RDN, LD, CHES - Medicare Dietitian in Idaho Falls, ID