Mrs Raina Ann Sparks, RD/LD is a medicare enrolled "Dietitian, Registered" provider in Mcalester, Oklahoma. Her current practice location is
1127 S George Nigh Expy, Mcalester, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 423-8440.
Mrs Raina Ann Sparks is licensed to practice in Oklahoma (license number 953572) 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 1245473032.
Healthcare Provider's Profile
| Full Name | Mrs Raina Ann Sparks |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1127 S George Nigh Expy, Mcalester, Oklahoma |
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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: 1245473032
- Provider Enumeration Date: 04/09/2009
- Last Update Date: 04/09/2009
Medicare PECOS Information:
- PECOS PAC ID: 8628424389
- Enrollment ID: I20231101000876
Medical Identifiers
Medical identifiers for Mrs Raina Ann Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245473032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 953572 (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 Raina Ann Sparks allows following entities to bill medicare on her behalf.
| Provider Name | Choctaw Nation Of Oklahoma |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659347623
PECOS PAC ID: 1759294838
Enrollment ID: O20031106000326 |
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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 Raina Ann Sparks 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 |
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Mrs Raina Ann Sparks, RD/LD
1127 S George Nigh Expy,
Mcalester, OK 74501-7143
Ph: (918) 423-8440 | Mrs Raina Ann Sparks, RD/LD
1127 S George Nigh Expy,
Mcalester, OK 74501-7143
Ph: (918) 423-8440 |
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