Ms Brenna Swanson, LRD is a medicare enrolled "Dietitian, Registered" provider in Devils Lake, North Dakota. Her current practice location is
210 Highway 2 W, Ste 10, Devils Lake, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 331-9334.
Ms Brenna Swanson is licensed to practice in North Dakota (license number 628) 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 1205991924.
Healthcare Provider's Profile
| Full Name | Ms Brenna Swanson |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 210 Highway 2 W, Devils Lake, North 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: 1205991924
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 04/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 3971584798
- Enrollment ID: I20040527000579
Medical Identifiers
Medical identifiers for Ms Brenna Swanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205991924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 628 (North 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 Brenna Swanson allows following entities to bill medicare on her behalf.
| Provider Name | Cavalier County Memorial Hospital Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750328662
PECOS PAC ID: 5092623520
Enrollment ID: O20040527000411 |
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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 Brenna Swanson 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 Brenna Swanson, LRD
10282 61st St Ne,
Lawton, ND 58345-9260
Ph: (701) 331-9334 | Ms Brenna Swanson, LRD
210 Highway 2 W, Ste 10,
Devils Lake, ND 58301-2913
Ph: (701) 331-9334 |
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