Mrs Carolyn Marie Renner, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Lander, Wyoming. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Lander Medical Clinic Pc and her current practice location is
175 S 5th St, Lander, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 349-1297.
Mrs Carolyn Marie Renner is licensed to practice in Wyoming (license number 004) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962707687.
Healthcare Provider's Profile
| Full Name | Mrs Carolyn Marie Renner |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 18 Years |
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| Location | 175 S 5th St, Lander, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Carolyn Marie Renner graduated from medical school in 2006
NPI Data:
- NPI Number: 1962707687
- Provider Enumeration Date: 01/12/2011
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123286143
- Enrollment ID: I20120222000690
Medical Identifiers
Medical identifiers for Mrs Carolyn Marie Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962707687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 004 (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lander Medical Clinic Pc | 1355323940 | 22 |
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 Carolyn Marie Renner allows following entities to bill medicare on her behalf.
| Provider Name | Lander Medical Clinic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932299690
PECOS PAC ID: 1355323940
Enrollment ID: O20040607000680 |
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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. Mrs Carolyn Marie Renner 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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Mrs Carolyn Marie Renner, MS, RDN, LD
173 Indian Lookout Dr,
Lander, WY 82520-3057
Ph: (307) 349-1297 | Mrs Carolyn Marie Renner, MS, RDN, LD
175 S 5th St,
Lander, WY 82520-3001
Ph: (307) 349-1297 |
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