Rachel Cleona Hernandez, RD, LD in Boise, ID - Medicare Dietitian, Registered Provider

Rachel Cleona Hernandez, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Boise, Idaho. Her current practice location is 100 E Idaho St Ste 200, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (425) 346-4732.

Rachel Cleona Hernandez is licensed to practice in Idaho (license number D-1065) 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 1669954129.

Contact Information

	Rachel Cleona Hernandez, RD, LD
	100 E Idaho St Ste 200, Boise, ID 83712-6270
	(425) 346-4732
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel Cleona Hernandez
Gender	Female
Speciality	Dietitian, Registered
Location	100 E Idaho St Ste 200, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669954129
Provider Enumeration Date: 08/31/2018
Last Update Date: 08/31/2018

Medicare PECOS Information:

PECOS PAC ID: 1557795978
Enrollment ID: I20191218000324

Medical Identifiers

Medical identifiers for Rachel Cleona Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669954129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-1065 (Idaho)	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. Rachel Cleona Hernandez allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Rachel Cleona Hernandez 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
Rachel Cleona Hernandez, RD, LD 1105 S La Pointe St Apt E426, Boise, ID 83706-2940 Ph: (425) 346-4732	Rachel Cleona Hernandez, RD, LD 100 E Idaho St Ste 200, Boise, ID 83712-6270 Ph: (425) 346-4732

Reviews and Comments

Dietitian, Registered in Boise, ID

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Rachel Cleona Hernandez, RD, LD - Medicare Dietitian in Boise, ID