Michelle Robertson, in Jackson, WY - Medicare Dietitian, Registered Provider

Michelle Robertson, is a medicare enrolled "Dietitian, Registered" provider in Jackson, Wyoming. Her current practice location is 625 E Broadway Ave, Jackson, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 739-7361.

Michelle Robertson is licensed to practice in Wyoming (license number 192) 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 1154969251.

Contact Information

	Michelle Robertson,
	625 E Broadway Ave, Jackson, WY 83001-8642
	(307) 739-7361
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Robertson
Gender	Female
Speciality	Dietitian, Registered
Location	625 E Broadway Ave, Jackson, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154969251
Provider Enumeration Date: 12/19/2019
Last Update Date: 02/18/2021

Medicare PECOS Information:

PECOS PAC ID: 4486083516
Enrollment ID: I20200410001231

Medical Identifiers

Medical identifiers for Michelle Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154969251	NPI	-	NPPES
155255400	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	192 (Wyoming)	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. Michelle Robertson allows following entities to bill medicare on her behalf.

Provider Name	Teton County Hospital District
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954

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. Michelle Robertson 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
Michelle Robertson, Po Box 428, Jackson, WY 83001-0428 Ph: () -	Michelle Robertson, 625 E Broadway Ave, Jackson, WY 83001-8642 Ph: (307) 739-7361

Reviews and Comments

Dietitian, Registered in Jackson, WY

Therese Lowe Metherell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 557 East Broadway, Jackson, WY 83001 Phone: 307-733-5344 Fax: 307-733-5344
Lisa Lauritzen Smith, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7357
Sarah J Peterson, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Ste 201, Jackson, WY 83001 Phone: 307-739-7634 Fax: 307-739-7632
Olivia Louise Mountcastle, RDN LDN MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7361
Mrs. Catherine Holland, RD, CDE, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Suite 114, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701
Maureen Patricia Molinari, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4234 Melody Ranch Drive, Pob 10592, Jackson, WY 83002 Phone: 307-203-2429

Michelle Robertson, - Medicare Dietitian in Jackson, WY