Mr Richard Edward Packard Jr, RDN, LDN, MBA, CDCES is a medicare enrolled "Dietitian, Registered" provider in Horseheads, New York. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. He is a member of the group practice Arnot Ogden Medical Center and his current practice location is
200 Meadow Dr, Horseheads, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 317-7177.
Mr Richard Edward Packard Jr is licensed to practice in New York (license number 010583) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821372376.
Healthcare Provider's Profile
Full Name | Mr Richard Edward Packard Jr |
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Gender | Male |
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Speciality | Registered Dietitian Or Nutrition Professional |
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Experience | 21 Years |
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Location | 200 Meadow Dr, Horseheads, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Richard Edward Packard Jr graduated from medical school in 2003
NPI Data:
- NPI Number: 1821372376
- Provider Enumeration Date: 10/03/2011
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840461687
- Enrollment ID: I20210513002516
Medical Identifiers
Medical identifiers for Mr Richard Edward Packard Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821372376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 598 (West Virginia) | Secondary |
133V00000X | Dietitian, Registered | 010583 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arnot Ogden Medical Center | 5395798417 | 195 |
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. Mr Richard Edward Packard Jr allows following entities to bill medicare on his behalf.
Provider Name | Arnot Ogden Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
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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. Mr Richard Edward Packard Jr 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 |
Mr Richard Edward Packard Jr, RDN, LDN, MBA, CDCES 200 Meadow Dr, Horseheads, NY 14845-1716 Ph: (607) 317-7177 | Mr Richard Edward Packard Jr, RDN, LDN, MBA, CDCES 200 Meadow Dr, Horseheads, NY 14845-1716 Ph: (607) 317-7177 |
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