Push Nutrition Coaching, Llc is a medicare enrolled "Dietitian, Registered" provider in Coventry, Rhode Island. Their current practice location is
6 Grandview St, Coventry, Rhode Island. You can reach out to their office (for appointments etc.) via phone at
(401) 473-7644.
Push Nutrition Coaching, Llc is licensed to practice in Rhode Island (license number LDN00118) and it also participates in the medicare program. Push Nutrition Coaching, 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 1235650011.
Healthcare Provider's Profile
Full Name | Push Nutrition Coaching, Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 6 Grandview St, Coventry, Rhode Island |
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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: 1235650011
- Provider Enumeration Date: 06/30/2017
- Last Update Date: 10/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 7911249057
- Enrollment ID: O20190422000773
Medical Identifiers
Medical identifiers for Push Nutrition Coaching, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235650011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LDN00118 (Rhode Island) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Push Nutrition Coaching, Llc acts as a billing entity for following providers:
Provider Name | Leah Spellman |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1558385328 PECOS PAC ID: 2860469996 Enrollment ID: I20040916000730 |
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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. Push Nutrition Coaching, 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 |
Push Nutrition Coaching, Llc 6 Grandview St, Coventry, RI 02816-4116 Ph: (401) 610-0301 | Push Nutrition Coaching, Llc 6 Grandview St, Coventry, RI 02816-4116 Ph: (401) 473-7644 |
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