Marie Elizabeth Funk, RD is a medicare enrolled "Dietitian, Registered" provider in Murphysboro, Illinois. Her current practice location is
7 S Hospital Dr, Murphysboro, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 519-9200.
Marie Elizabeth Funk is licensed to practice in Illinois (license number 164007111) 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 1215450713.
Healthcare Provider's Profile
| Full Name | Marie Elizabeth Funk |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 7 S Hospital Dr, Murphysboro, Illinois |
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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: 1215450713
- Provider Enumeration Date: 07/18/2017
- Last Update Date: 07/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 4284905159
- Enrollment ID: I20240320004123
Medical Identifiers
Medical identifiers for Marie Elizabeth Funk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215450713 | NPI | - | NPPES |
| 370966854002 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 164007111 (Illinois) | 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. Marie Elizabeth Funk allows following entities to bill medicare on her behalf.
| Provider Name | Nourish, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558097824
PECOS PAC ID: 1557724937
Enrollment ID: O20230901000471 |
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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. Marie Elizabeth Funk 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 |
|---|
Marie Elizabeth Funk, RD
109 California St, Po Box 577,
Carterville, IL 62918-0577
Ph: (618) 519-9200 | Marie Elizabeth Funk, RD
7 S Hospital Dr,
Murphysboro, IL 62966-3333
Ph: (618) 519-9200 |
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