Laura Marie Selby, RDN is a medicare enrolled "Dietitian, Registered" provider in Bloomsdale, Missouri. Her current practice location is
37 Meyer Ln, Bloomsdale, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 483-3734.
Laura Marie Selby is licensed to practice in Missouri (license number 2015021390) 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 1295847606.
Healthcare Provider's Profile
| Full Name | Laura Marie Selby |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 37 Meyer Ln, Bloomsdale, Missouri |
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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: 1295847606
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3173520830
- Enrollment ID: I20230718002876
Medical Identifiers
Medical identifiers for Laura Marie Selby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295847606 | NPI | - | NPPES |
| 164004289 | Other | IL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 164004289 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 2015021390 (Missouri) | 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. Laura Marie Selby allows following entities to bill medicare on her behalf.
| Provider Name | Ste Genevieve County Memorial Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801817416
PECOS PAC ID: 3274432802
Enrollment ID: O20040617000089 |
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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. Laura Marie Selby 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 |
|---|
Laura Marie Selby, RDN
505 Parkview Dr,
Bloomsdale, MO 63627-9136
Ph: (573) 702-8089 | Laura Marie Selby, RDN
37 Meyer Ln,
Bloomsdale, MO 63627-9138
Ph: (573) 483-3734 |
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