Mrs Jacqueline Marie Humpherys, RD - Medicare Dietitian in Pinetop, AZ

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Mrs Jacqueline Marie Humpherys, RD is a medicare enrolled "Dietitian, Registered" provider in Pinetop, Arizona. Her current practice location is 5183 Saddle Strap Way, Pinetop, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 369-1111.

Mrs Jacqueline Marie Humpherys is licensed to practice in Idaho (license number 807654) 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 1447400437.

Contact Information

Mrs Jacqueline Marie Humpherys, RD
5183 Saddle Strap Way,
Pinetop, AZ 85935-7535
(928) 369-1111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jacqueline Marie Humpherys
GenderFemale
SpecialityDietitian, Registered
Location5183 Saddle Strap Way, Pinetop, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447400437
  • Provider Enumeration Date: 09/25/2008
  • Last Update Date: 09/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1951649540
  • Enrollment ID: I20190206000760

Medical Identifiers

Medical identifiers for Mrs Jacqueline Marie Humpherys such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447400437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 807654 (Idaho)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 Jacqueline Marie Humpherys allows following entities to bill medicare on her behalf.
Provider NameUintah Basin Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871556217
PECOS PAC ID: 0244131944
Enrollment ID: O20040226000948
Provider NameNortheastern Utah Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1982664199
PECOS PAC ID: 2961496609
Enrollment ID: O20040414000471

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 Jacqueline Marie Humpherys 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 AddressPractice Location Address
Mrs Jacqueline Marie Humpherys, RD
5183 Saddle Strap Way,
Pinetop, AZ 85935-7535

Ph: (928) 369-1111		Mrs Jacqueline Marie Humpherys, RD
5183 Saddle Strap Way,
Pinetop, AZ 85935-7535

Ph: (928) 369-1111

Reviews and Comments


Dietitian, Registered in Pinetop, AZ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.