Marilyn Diane Smith, RD in Tuba City, AZ - Medicare Dietitian, Registered Provider

Marilyn Diane Smith, RD is a medicare enrolled "Dietitian, Registered" provider in Tuba City, Arizona. Her current practice location is 167 North Main Street, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 283-2501.

Marilyn Diane Smith is licensed to practice in * (Not Available) (license number 886496) 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 1285045138.

Contact Information

	Marilyn Diane Smith, RD
	167 North Main Street, Tuba City, AZ 86045-0600
	(928) 283-2501
	(928) 283-2677

Map and Direction

Healthcare Provider's Profile

Full Name	Marilyn Diane Smith
Gender	Female
Speciality	Dietitian, Registered
Location	167 North Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285045138
Provider Enumeration Date: 05/14/2014
Last Update Date: 05/14/2014

Medicare PECOS Information:

PECOS PAC ID: 5092005306
Enrollment ID: I20160527000570

Medical Identifiers

Medical identifiers for Marilyn Diane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285045138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	886496 (* (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. Marilyn Diane Smith allows following entities to bill medicare on her behalf.

Provider Name	Tuba City Regional Health Care Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Marilyn Diane Smith 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
Marilyn Diane Smith, RD Po Box 600, Tuba City, AZ 86045-0600 Ph: (928) 283-2781	Marilyn Diane Smith, RD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501

Reviews and Comments

Dietitian, Registered in Tuba City, AZ

Mr. Abdul-aziz I Baco, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Deirdra G Scarborough, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Ronald J Dovzak, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Miss Theodora Rudd, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2895
Jana Franchini, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 866-976-5941
Jane Dougherty-lake, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2497

Marilyn Diane Smith, RD - Medicare Dietitian in Tuba City, AZ