Mrs Jody Marie Rosendahl, RD is a medicare enrolled "Dietitian, Registered" provider in Belcourt, North Dakota. Her current practice location is
1 Hospital Road, Belcourt, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 477-8442.
Mrs Jody Marie Rosendahl is licensed to practice in North Dakota (license number 266) 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 1063632792.
Healthcare Provider's Profile
| Full Name | Mrs Jody Marie Rosendahl |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1 Hospital Road, Belcourt, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063632792
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 10/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759681273
- Enrollment ID: I20151204001121
Medical Identifiers
Medical identifiers for Mrs Jody Marie Rosendahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063632792 | NPI | - | NPPES |
| 266 | Other | ND | NORTH DAKOTA LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 266 (North Dakota) | 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 Jody Marie Rosendahl allows following entities to bill medicare on her behalf.
| Provider Name | Quentin N Burdick Comprehensive Health Care Facility |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952346934
PECOS PAC ID: 5496651853
Enrollment ID: O20031208001052 |
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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 Jody Marie Rosendahl 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 Jody Marie Rosendahl, RD
505 Jay St,
Bottineau, ND 58318-1461
Ph: (701) 228-3837 | Mrs Jody Marie Rosendahl, RD
1 Hospital Road,
Belcourt, ND 58316
Ph: (701) 477-8442 |
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