Leeanna Michelle Moy, RD in Stillwater, MN - Medicare Dietitian, Registered Provider

Leeanna Michelle Moy, RD is a medicare enrolled "Dietitian, Registered" provider in Stillwater, Minnesota. Her current practice location is 927 Churchill St W, Stillwater, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 430-4602.

Leeanna Michelle Moy is licensed to practice in Minnesota (license number 86210207) 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 1518615483.

Contact Information

	Leeanna Michelle Moy, RD
	927 Churchill St W, Stillwater, MN 55082-6605
	(651) 430-4602
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leeanna Michelle Moy
Gender	Female
Speciality	Dietitian, Registered
Location	927 Churchill St W, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518615483
Provider Enumeration Date: 03/10/2022
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6901258946
Enrollment ID: I20240116001663

Medical Identifiers

Medical identifiers for Leeanna Michelle Moy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518615483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86210207 (Minnesota)	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. Leeanna Michelle Moy allows following entities to bill medicare on her behalf.

Provider Name	Gillette Childrens Specialty Healthcare
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485

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. Leeanna Michelle Moy 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
Leeanna Michelle Moy, RD 7904 Hallmark Way, Apple Valley, MN 55124-7076 Ph: (952) 288-3104	Leeanna Michelle Moy, RD 927 Churchill St W, Stillwater, MN 55082-6605 Ph: (651) 430-4602

Reviews and Comments

Dietitian, Registered in Stillwater, MN

Kristin Ann Miller, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-4602
Mrs. Mary Elizabeth Miller, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-8715 Fax: 651-430-8716
Sarah Lynn Dahlke, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-8715
Kathleen Ann Mead, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-8715
Danielle Marie Lausted, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2900 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-471-5600
Ashley Krogfus, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-8717
Laura Bisek, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 Willard St W, Stillwater, MN 55082 Phone: 612-270-7349

Leeanna Michelle Moy, RD - Medicare Dietitian in Stillwater, MN