Mrs Heidi Colleen Church, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Meadow Bridge, West Virginia. Her current practice location is
1992 Patterson Mountain Rd, Meadow Bridge, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(773) 459-3700.
Mrs Heidi Colleen Church is licensed to practice in West Virginia (license number 1099) 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 1548922321.
Healthcare Provider's Profile
Full Name | Mrs Heidi Colleen Church |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1992 Patterson Mountain Rd, Meadow Bridge, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548922321
- Provider Enumeration Date: 10/09/2021
- Last Update Date: 10/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890167936
- Enrollment ID: I20230217001811
Medical Identifiers
Medical identifiers for Mrs Heidi Colleen Church such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548922321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1099 (West Virginia) | 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 Heidi Colleen Church allows following entities to bill medicare on her behalf.
Provider Name | Pesto Health Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1396460341 PECOS PAC ID: 5698142297 Enrollment ID: O20221213001510 |
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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 Heidi Colleen Church 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 Heidi Colleen Church, MS, RD, LD 1992 Patterson Mountain Rd, Meadow Bridge, WV 25976-6914 Ph: (773) 459-3700 | Mrs Heidi Colleen Church, MS, RD, LD 1992 Patterson Mountain Rd, Meadow Bridge, WV 25976-6914 Ph: (773) 459-3700 |
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