R2o Nutrition Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Huntington Beach, California. Their current practice location is
21551 Brookhurst St, Huntington Beach, California. You can reach out to their office (for appointments etc.) via phone at
(818) 462-1932.
R2o Nutrition Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. R2o Nutrition 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 1760140248.
Healthcare Provider's Profile
| Full Name | R2o Nutrition Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 21551 Brookhurst St, Huntington Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760140248
- Provider Enumeration Date: 12/02/2021
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820480155
- Enrollment ID: O20220119001576
Medical Identifiers
Medical identifiers for R2o Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760140248 | NPI | - | NPPES |
| 86078203 | Other | CA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
R2o Nutrition Llc acts as a billing entity for following providers:
| Provider Name | Sarah Marie Jackson |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1821506320
PECOS PAC ID: 9739571068
Enrollment ID: I20220119001737 |
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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. R2o Nutrition 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 |
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R2o Nutrition Llc
21551 Brookhurst St Apt 41,
Huntington Beach, CA 92646-8041
Ph: (818) 462-1932 | R2o Nutrition Llc
21551 Brookhurst St,
Huntington Beach, CA 92646-8007
Ph: (818) 462-1932 |
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