Mrs Patricia Logan Mckibben, RD, CD in Burlington, VT - Medicare Dietitian, Registered Provider

Mrs Patricia Logan Mckibben, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Burlington, Vermont. Her current practice location is 111 Colchester Ave, Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 847-3640.

Mrs Patricia Logan Mckibben is licensed to practice in Vermont (license number 0740000157) 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 1023235835.

Contact Information

	Mrs Patricia Logan Mckibben, RD, CD
	111 Colchester Ave, Burlington, VT 05401-1473
	(802) 847-3640
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Patricia Logan Mckibben
Gender	Female
Speciality	Dietitian, Registered
Location	111 Colchester Ave, Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023235835
Provider Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800931346
Enrollment ID: I20100309000476

Medical Identifiers

Medical identifiers for Mrs Patricia Logan Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023235835	NPI	-	NPPES
0740000157	Other	VT	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	0740000157 (Vermont)	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 Patricia Logan Mckibben allows following entities to bill medicare on her behalf.

Provider Name	University Of Vermont Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

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 Patricia Logan Mckibben 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 Patricia Logan Mckibben, RD, CD 150 Deacons Way, Waterbury Center, VT 05677-8111 Ph: (802) 244-7647	Mrs Patricia Logan Mckibben, RD, CD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-3640

Reviews and Comments

Dietitian, Registered in Burlington, VT

Mrs. Desiree De Waal, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Uhc Arnold 2318, Renal Clinic, Burlington, VT 05401 Phone: 802-847-3203 Fax: 802-847-3607
Wendy Hess, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324
Kimberly Swartz Doyle, Dietitian Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-1601
Ellen Gloria Evans, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 Phone: 802-847-1400
Ms. Linda Lee Tilton, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Fahc St. Joseph's 5th Floor, Uhc Campus, Burlington, VT 05401 Phone: 802-847-4576
Gillian Dixon, MS, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 Bank St, Burlington, VT 05401 Phone: 937-760-5262

Mrs Patricia Logan Mckibben, RD, CD - Medicare Dietitian in Burlington, VT