Pamela Oliphant, is a medicare enrolled "Dietitian, Registered" provider in Douglas, Arizona. Her current practice location is
1100 F Ave, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 364-3285.
Pamela Oliphant is licensed to practice in * (Not Available) (license number 706300) 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 1174072326.
Healthcare Provider's Profile
| Full Name | Pamela Oliphant |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1100 F Ave, Douglas, Arizona |
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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: 1174072326
- Provider Enumeration Date: 09/29/2016
- Last Update Date: 11/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658650882
- Enrollment ID: I20161110002565
Medical Identifiers
Medical identifiers for Pamela Oliphant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174072326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 706300 (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pamela Oliphant allows following entities to bill medicare on her behalf.
| Provider Name | Chiricahua Community Health Centers Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942241443
PECOS PAC ID: 5395638878
Enrollment ID: O20040206000860 |
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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. Pamela Oliphant 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 |
|---|
Pamela Oliphant,
155 Calle Portal, Suite 100,
Sierra Vista, AZ 85635-2900
Ph: (520) 459-3011 | Pamela Oliphant,
1100 F Ave,
Douglas, AZ 85607-1919
Ph: (520) 364-3285 |
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