Nutrastead & Co is a medicare enrolled "Dietitian, Registered" provider in Dewitt, Illinois. Their current practice location is
12764 Solomon Rd, Dewitt, Illinois. You can reach out to their office (for appointments etc.) via phone at
(217) 520-3209.
Nutrastead & Co is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nutrastead & Co
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104497189.
Healthcare Provider's Profile
Full Name | Nutrastead & Co |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 12764 Solomon Rd, Dewitt, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104497189
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 07/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638565930
- Enrollment ID: O20220414001016
Medical Identifiers
Medical identifiers for Nutrastead & Co such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104497189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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.
Nutrastead & Co acts as a billing entity for following providers:
Provider Name | Moriah Gramm |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1316504020 PECOS PAC ID: 1052708427 Enrollment ID: I20220504000574 |
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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. Nutrastead & Co 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 |
Nutrastead & Co 12764 Solomon Rd, Dewitt, IL 61735-9448 Ph: (217) 520-3209 | Nutrastead & Co 12764 Solomon Rd, Dewitt, IL 61735-9448 Ph: (217) 520-3209 |
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