Ms Angela Wolfenberger, RDN is a medicare enrolled "Dietitian, Registered" provider in Butler, Tennessee. Her current practice location is
984 Piercetown Rd, Butler, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(917) 747-4331.
Ms Angela Wolfenberger is licensed to practice in * (Not Available) (license number ) 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 1699217406.
Healthcare Provider's Profile
| Full Name | Ms Angela Wolfenberger |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 984 Piercetown Rd, Butler, Tennessee |
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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: 1699217406
- Provider Enumeration Date: 11/10/2016
- Last Update Date: 11/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 1052790714
- Enrollment ID: I20220627001764
Medical Identifiers
Medical identifiers for Ms Angela Wolfenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699217406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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 Angela Wolfenberger allows following entities to bill medicare on her behalf.
| Provider Name | The Queens Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366 |
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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 Angela Wolfenberger 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 Angela Wolfenberger, RDN
Po Box 423,
Mountain City, TN 37683-0423
Ph: (917) 747-4331 | Ms Angela Wolfenberger, RDN
984 Piercetown Rd,
Butler, TN 37640-5010
Ph: (917) 747-4331 |
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