Mrs Breanna R Dale, RD,LD in Sapulpa, OK - Medicare Dietitian, Registered Provider

Mrs Breanna R Dale, RD,LD is a medicare enrolled "Dietitian, Registered" provider in Sapulpa, Oklahoma. Her current practice location is 1125 E Cleveland Ave, Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 224-9310.

Mrs Breanna R Dale is licensed to practice in Oklahoma (license number 2157) 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 1033606330.

Contact Information

	Mrs Breanna R Dale, RD,LD
	1125 E Cleveland Ave, Sapulpa, OK 74066-4641
	(918) 224-9310
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Breanna R Dale
Gender	Female
Speciality	Dietitian, Registered
Location	1125 E Cleveland Ave, Sapulpa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033606330
Provider Enumeration Date: 04/23/2018
Last Update Date: 04/23/2018

Medicare PECOS Information:

PECOS PAC ID: 0547523755
Enrollment ID: I20180420000698

Medical Identifiers

Medical identifiers for Mrs Breanna R Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033606330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2157 (Oklahoma)	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. Mrs Breanna R Dale allows following entities to bill medicare on her behalf.

Provider Name	Creek Nation Hospital & Clinics
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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. Mrs Breanna R Dale 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
Mrs Breanna R Dale, RD,LD 5305 S 36th West Ave, Tulsa, OK 74107-9538 Ph: (918) 864-3408	Mrs Breanna R Dale, RD,LD 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 Ph: (918) 224-9310

Reviews and Comments

Dietitian, Registered in Sapulpa, OK

Harvey Lewis Baber, RD CDE LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 N Main St, Sapulpa, OK 74066 Phone: 918-248-5393 Fax: 918-248-5399
Mrs. Melissa Diane Scheef, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-224-3805
Rachel Marie Valcarcel, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 615 S Mission St Ste A, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-224-3805
Saydee Carl, RD,LD, PHD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10283 S 198th West Ave, Sapulpa, OK 74066 Phone: 580-216-5711
Harvey L Baber Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 N Main St, Sapulpa, OK 74066 Phone: 918-248-5393 Fax: 918-248-5399
Muscogee Creek Nation Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-224-3805

Mrs Breanna R Dale, RD,LD - Medicare Dietitian in Sapulpa, OK