Mrs Kimberly Jo Schmidt, RDN, LD in Boise, ID - Medicare Dietitian, Registered Provider

Mrs Kimberly Jo Schmidt, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Boise, Idaho. Her current practice location is 100 E Idaho St Ste 200, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 484-7770.

Mrs Kimberly Jo Schmidt is licensed to practice in Idaho (license number D-522) 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 1104391424.

Contact Information

	Mrs Kimberly Jo Schmidt, RDN, LD
	100 E Idaho St Ste 200, Boise, ID 83712-6270
	(208) 484-7770
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Jo Schmidt
Gender	Female
Speciality	Dietitian, Registered
Location	100 E Idaho St Ste 200, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104391424
Provider Enumeration Date: 10/13/2018
Last Update Date: 12/18/2018

Medicare PECOS Information:

PECOS PAC ID: 6709123169
Enrollment ID: I20190123004195

Medical Identifiers

Medical identifiers for Mrs Kimberly Jo Schmidt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104391424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	D-522 (Idaho)	Secondary
133VN1005X	Dietitian, Registered - Nutrition, Renal	D-522 (Idaho)	Secondary
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	D-522 (Idaho)	Secondary
133V00000X	Dietitian, Registered	D-522 (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 Kimberly Jo Schmidt allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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 Kimberly Jo Schmidt 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 Kimberly Jo Schmidt, RDN, LD 13486 N 4th Ave, Boise, ID 83714-9414 Ph: (208) 484-7770	Mrs Kimberly Jo Schmidt, RDN, LD 100 E Idaho St Ste 200, Boise, ID 83712-6270 Ph: (208) 484-7770

Reviews and Comments

Dietitian, Registered in Boise, ID

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Mrs Kimberly Jo Schmidt, RDN, LD - Medicare Dietitian in Boise, ID