Sara Elizabeth Poulsen, RDN, LD in Pocatello, ID - Medicare Dietitian, Registered Provider

Sara Elizabeth Poulsen, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Pocatello, Idaho. Her current practice location is 147 Stanford Ave, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 424-0179.

Sara Elizabeth Poulsen is licensed to practice in Idaho (license number D-897) 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 1346767746.

Contact Information

	Sara Elizabeth Poulsen, RDN, LD
	147 Stanford Ave, Pocatello, ID 83201-3425
	(208) 424-0179
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sara Elizabeth Poulsen
Gender	Female
Speciality	Dietitian, Registered
Location	147 Stanford Ave, Pocatello, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346767746
Provider Enumeration Date: 08/25/2017
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4082040191
Enrollment ID: I20200210001795

Medical Identifiers

Medical identifiers for Sara Elizabeth Poulsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346767746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-897 (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. Sara Elizabeth Poulsen 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. Sara Elizabeth Poulsen 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
Sara Elizabeth Poulsen, RDN, LD 147 Stanford Ave, Pocatello, ID 83201-3425 Ph: (208) 424-0179	Sara Elizabeth Poulsen, RDN, LD 147 Stanford Ave, Pocatello, ID 83201-3425 Ph: (208) 424-0179

Reviews and Comments

Dietitian, Registered in Pocatello, ID

Mrs. Courtney Meyers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070
L. Elaine Niebaur, RD,CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1522 Sod Farm Rd, Pocatello, ID 83204 Phone: 208-637-1094 Fax: 208-637-0750
Abby Jan Wilson, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Hospital Way Bldg D, Pocatello, ID 83201 Phone: 208-239-2070
Tiffany Topliff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1684 Glacier St, Pocatello, ID 83201 Phone: 208-406-3557
Mrs. Jessica Badaracco Griffel, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 990 Cesar Chavez Ave, Pocatello, ID 83209 Phone: 208-282-2330
Mrs. Joanna Kelley Davidson, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Building A, Suite 201, Pocatello, ID 83201 Phone: 208-239-2737 Fax: 208-239-3778
Callie Miller, MHS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1200 Holman Ave, Pocatello, ID 83201 Phone: 208-871-8755 Fax: 888-462-8913

Sara Elizabeth Poulsen, RDN, LD - Medicare Dietitian in Pocatello, ID