Kyle Louis Stansberry, RDN in Mount Pleasant, MI - Medicare Dietitian, Registered Provider

Kyle Louis Stansberry, RDN is a medicare enrolled "Dietitian, Registered" provider in Mount Pleasant, Michigan. His current practice location is 8080 Upham Dr, Mount Pleasant, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 506-1179.

Kyle Louis Stansberry is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538624325.

Contact Information

	Kyle Louis Stansberry, RDN
	8080 Upham Dr, Mount Pleasant, MI 48858-9403
	(989) 506-1179
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Louis Stansberry
Gender	Male
Speciality	Dietitian, Registered
Location	8080 Upham Dr, Mount Pleasant, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538624325
Provider Enumeration Date: 02/05/2019
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 6709208713
Enrollment ID: I20200622000440

Medical Identifiers

Medical identifiers for Kyle Louis Stansberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538624325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Kyle Louis Stansberry allows following entities to bill medicare on his behalf.

Provider Name	Enlightened Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386208031 PECOS PAC ID: 2567793862 Enrollment ID: O20191018000169

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. Kyle Louis Stansberry 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
Kyle Louis Stansberry, RDN 8080 Upham Dr, Mount Pleasant, MI 48858-9403 Ph: (989) 506-1179	Kyle Louis Stansberry, RDN 8080 Upham Dr, Mount Pleasant, MI 48858-9403 Ph: (989) 506-1179

Reviews and Comments

Dietitian, Registered in Mount Pleasant, MI

Theplate Boutique Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Broadway St, Mount Pleasant, MI 48858 Phone: 989-400-1478 Fax: 989-317-8000
Mrs. Kati E Mora, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Broadway St, Mount Pleasant, MI 48858 Phone: 989-400-1478
Liberty Quackenbush, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: Po Box 1327, Mount Pleasant, MI 48804 Phone: 989-303-9146
Miss Sarah Schuetz, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Broadway St, Mount Pleasant, MI 48858 Phone: 989-400-1478 Fax: 989-317-8000

Kyle Louis Stansberry, RDN - Medicare Dietitian in Mount Pleasant, MI