Mrs Kristie Ann Purdy, MS, RD/LD is a medicare enrolled "Dietitian, Registered" provider in Clinton, Oklahoma. Her current practice location is
Rr 1 Box 3060, Clinton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 331-3458.
Mrs Kristie Ann Purdy is licensed to practice in Oklahoma (license number 1634) 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 1790015980.
Healthcare Provider's Profile
Full Name | Mrs Kristie Ann Purdy |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Rr 1 Box 3060, Clinton, Oklahoma |
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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: 1790015980
- Provider Enumeration Date: 01/11/2010
- Last Update Date: 05/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416129416
- Enrollment ID: I20111018000188
Medical Identifiers
Medical identifiers for Mrs Kristie Ann Purdy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790015980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1634 (Oklahoma) | 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 Kristie Ann Purdy allows following entities to bill medicare on her behalf.
Provider Name | Watonga Indian Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
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Provider Name | El Reno Indian Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1386725604 PECOS PAC ID: 5193627263 Enrollment ID: O20040121000487 |
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Provider Name | Clinton Indian Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
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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 Kristie Ann Purdy 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 Kristie Ann Purdy, MS, RD/LD Rr 1 Box 3060, Clinton, OK 73601-9303 Ph: (580) 331-3458 | Mrs Kristie Ann Purdy, MS, RD/LD Rr 1 Box 3060, Clinton, OK 73601-9303 Ph: (580) 331-3458 |
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