Ms Anathea Marie Edleman, RD, LN is a medicare enrolled "Dietitian, Registered" provider in Eagle Butte, South Dakota. Her current practice location is
24267 166th Street, Airport Road, Eagle Butte Hospital, Eagle Butte, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 964-0548.
Ms Anathea Marie Edleman is licensed to practice in South Dakota (license number 0412) 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 1346592516.
Healthcare Provider's Profile
| Full Name | Ms Anathea Marie Edleman |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 24267 166th Street, Airport Road, Eagle Butte, South Dakota |
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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: 1346592516
- Provider Enumeration Date: 10/11/2012
- Last Update Date: 10/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 9537465018
- Enrollment ID: I20160309001220
Medical Identifiers
Medical identifiers for Ms Anathea Marie Edleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346592516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 0412 (South Dakota) | 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. Ms Anathea Marie Edleman allows following entities to bill medicare on her behalf.
| Provider Name | Tuba City Regional Health Care Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107 |
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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. Ms Anathea Marie Edleman 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 |
|---|
Ms Anathea Marie Edleman, RD, LN
24267 166th Street, Airport Road, Eagle Butte Hospital,
Eagle Butte, SD 57625
Ph: (605) 964-0548 | Ms Anathea Marie Edleman, RD, LN
24267 166th Street, Airport Road, Eagle Butte Hospital,
Eagle Butte, SD 57625
Ph: (605) 964-0548 |
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