Mrs Brenda Lynn Stover, RD is a medicare enrolled "Dietitian, Registered" provider in Winchester, California. Her current practice location is
32491 Hearth Glen Ct, Winchester, California. You can reach out to her office (for appointments etc.) via phone at
(619) 244-9006.
Mrs Brenda Lynn Stover is licensed to practice in California (license number 1034954) 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 1750693172.
Healthcare Provider's Profile
Full Name | Mrs Brenda Lynn Stover |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 32491 Hearth Glen Ct, Winchester, California |
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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: 1750693172
- Provider Enumeration Date: 07/14/2010
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042663890
- Enrollment ID: I20240128000073
Medical Identifiers
Medical identifiers for Mrs Brenda Lynn Stover such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750693172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1034954 (California) | 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 Brenda Lynn Stover allows following entities to bill medicare on her behalf.
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
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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 Brenda Lynn Stover 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 Brenda Lynn Stover, RD 32491 Hearth Glen Ct, Winchester, CA 92596-8677 Ph: (619) 244-9006 | Mrs Brenda Lynn Stover, RD 32491 Hearth Glen Ct, Winchester, CA 92596-8677 Ph: (619) 244-9006 |
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