Mrs Wanda L King, MS, RDN, CLC is a medicare enrolled "Dietitian, Registered" provider in Poslon, Montana. Her current practice location is
6 Thirteenth Avenue East, Poslon, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 883-8454.
Mrs Wanda L King is licensed to practice in Montana (license number MED-NUTR-LIC-581) 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 1154730364.
Healthcare Provider's Profile
Full Name | Mrs Wanda L King |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 6 Thirteenth Avenue East, Poslon, Montana |
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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: 1154730364
- Provider Enumeration Date: 08/13/2014
- Last Update Date: 06/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002131315
- Enrollment ID: I20150209000925
Medical Identifiers
Medical identifiers for Mrs Wanda L King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154730364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | MED-NUTR-LIC-581 (Montana) | 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 Wanda L King allows following entities to bill medicare on her behalf.
Provider Name | Providence Health & Services Mt |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
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Provider Name | Providence St Joseph Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
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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 Wanda L King 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 Wanda L King, MS, RDN, CLC Po Box 1010, Polson, MT 59860-1010 Ph: () - | Mrs Wanda L King, MS, RDN, CLC 6 Thirteenth Avenue East, Poslon, MT 59860 Ph: (406) 883-8454 |
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