Melissa Boncher, MS RD CD is a medicare enrolled "Dietitian, Registered" provider in Mount Pleasant, Iowa. Her current practice location is
1700 E Washington St, Mount Pleasant, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 385-2266.
Melissa Boncher is licensed to practice in Wisconsin (license number 2715-29) 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 1487045910.
Healthcare Provider's Profile
| Full Name | Melissa Boncher |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1700 E Washington St, Mount Pleasant, Iowa |
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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: 1487045910
- Provider Enumeration Date: 02/05/2015
- Last Update Date: 10/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 8628394038
- Enrollment ID: I20240301003804
Medical Identifiers
Medical identifiers for Melissa Boncher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487045910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2715-29 (Wisconsin) | 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. Melissa Boncher allows following entities to bill medicare on her behalf.
| Provider Name | Ctca Physicians Group Of Arizona Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609026806
PECOS PAC ID: 2264593474
Enrollment ID: O20081205000793 |
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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. Melissa Boncher 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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Melissa Boncher, MS RD CD
1700 E Washington St,
Mount Pleasant, IA 52641-3210
Ph: (319) 385-2266 | Melissa Boncher, MS RD CD
1700 E Washington St,
Mount Pleasant, IA 52641-3210
Ph: (319) 385-2266 |
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