Mrs Lorie Lynn Siders, RDN is a medicare enrolled "Dietitian, Registered" provider in Jackson, Ohio. Her current practice location is
500 Burlington Rd, Jackson, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 395-8356.
Mrs Lorie Lynn Siders is licensed to practice in Ohio (license number LD.09000) 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 1669019501.
Healthcare Provider's Profile
| Full Name | Mrs Lorie Lynn Siders |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 500 Burlington Rd, Jackson, Ohio |
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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: 1669019501
- Provider Enumeration Date: 12/10/2019
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375979495
- Enrollment ID: I20231006001280
Medical Identifiers
Medical identifiers for Mrs Lorie Lynn Siders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669019501 | NPI | - | NPPES |
| 0387812 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD.09000 (Ohio) | 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 Lorie Lynn Siders allows following entities to bill medicare on her behalf.
| Provider Name | Holzer Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746 |
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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 Lorie Lynn Siders 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 Lorie Lynn Siders, RDN
500 Burlington Rd,
Jackson, OH 45640-9360
Ph: (740) 395-8356 | Mrs Lorie Lynn Siders, RDN
500 Burlington Rd,
Jackson, OH 45640-9360
Ph: (740) 395-8356 |
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