Marlyne Perez, is a medicare enrolled "Dietitian, Registered" provider in Bisbee, Arizona. Her current practice location is
108 Arizona St, Bisbee, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 432-3309.
Marlyne Perez is licensed to practice in Arizona (license number 1036163) 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 1386002335.
Healthcare Provider's Profile
| Full Name | Marlyne Perez |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 108 Arizona St, Bisbee, Arizona |
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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: 1386002335
- Provider Enumeration Date: 02/05/2016
- Last Update Date: 07/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193152742
- Enrollment ID: I20200304000752
Medical Identifiers
Medical identifiers for Marlyne Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386002335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2014030930 (Missouri) | Secondary |
| 133V00000X | Dietitian, Registered | 1036163 (Arizona) | 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. Marlyne Perez allows following entities to bill medicare on her behalf.
| Provider Name | Chiricahua Community Health Centers Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942241443
PECOS PAC ID: 5395638878
Enrollment ID: O20040206000860 |
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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. Marlyne Perez 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 |
|---|
Marlyne Perez,
1205 N F Ave,
Douglas, AZ 85607-1920
Ph: (520) 364-6852 | Marlyne Perez,
108 Arizona St,
Bisbee, AZ 85603-1804
Ph: (520) 432-3309 |
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