Ms Anita Rose Thedford, is a medicare enrolled "Dietitian, Registered" provider in Hemphill, Texas. Her current practice location is
160 N Oak St, Hemphill, Texas. You can reach out to her office (for appointments etc.) via phone at
(318) 581-0301.
Ms Anita Rose Thedford is licensed to practice in Texas (license number DT05212) 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 1740521772.
Healthcare Provider's Profile
| Full Name | Ms Anita Rose Thedford |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 160 N Oak St, Hemphill, Texas |
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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: 1740521772
- Provider Enumeration Date: 03/15/2013
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436399581
- Enrollment ID: I20240215004545
Medical Identifiers
Medical identifiers for Ms Anita Rose Thedford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740521772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DT05212 (Texas) | 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 Anita Rose Thedford allows following entities to bill medicare on her behalf.
| Provider Name | Anita Thedford Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356781587
PECOS PAC ID: 9537503792
Enrollment ID: O20240215004445 |
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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 Anita Rose Thedford 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 Anita Rose Thedford,
236 Bayshore Dr,
Hemphill, TX 75948-1380
Ph: (318) 581-0301 | Ms Anita Rose Thedford,
160 N Oak St,
Hemphill, TX 75948-9858
Ph: (318) 581-0301 |
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