Mary J Obenreder, LDN is a medicare enrolled "Dietitian, Registered" provider in Clarion, Pennsylvania. Her current practice location is
1 Hospital Dr, Clarion, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 226-3416.
Mary J Obenreder is licensed to practice in Pennsylvania (license number DN001372) 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 1679540801.
Healthcare Provider's Profile
| Full Name | Mary J Obenreder |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1 Hospital Dr, Clarion, Pennsylvania |
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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: 1679540801
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315133667
- Enrollment ID: I20101129000315
Medical Identifiers
Medical identifiers for Mary J Obenreder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679540801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DN001372 (Pennsylvania) | 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. Mary J Obenreder allows following entities to bill medicare on her behalf.
| Provider Name | Clarion Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730121641
PECOS PAC ID: 7618923293
Enrollment ID: O20050411000301 |
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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. Mary J Obenreder 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 |
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Mary J Obenreder, LDN
1192 Treasure Lk,
Du Bois, PA 15801-9028
Ph: () - | Mary J Obenreder, LDN
1 Hospital Dr,
Clarion, PA 16214-8501
Ph: (814) 226-3416 |
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