Nutrition Ignition Llc is a medicare enrolled "Dietitian, Registered" provider in Fernandina, Florida. Their current practice location is
1890 S 14th St, Fernandina, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 891-9104.
Nutrition Ignition Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nutrition Ignition Llc
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 1851039333.
Healthcare Provider's Profile
Full Name | Nutrition Ignition Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 1890 S 14th St, Fernandina, Florida |
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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: 1851039333
- Provider Enumeration Date: 05/24/2022
- Last Update Date: 05/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214315738
- Enrollment ID: O20220610002554
Medical Identifiers
Medical identifiers for Nutrition Ignition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851039333 | 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.
Nutrition Ignition Llc acts as a billing entity for following providers:
Provider Name | Ashley Elizabeth Sobolewski |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1841727070 PECOS PAC ID: 8921377235 Enrollment ID: I20170629002100 |
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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. Nutrition Ignition Llc 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 |
Nutrition Ignition Llc 3072 Vista Wood Dr, Jacksonville, FL 32226-2066 Ph: () - | Nutrition Ignition Llc 1890 S 14th St, Fernandina, FL 32034-4740 Ph: (904) 891-9104 |
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