Sarah M Wills I, RD,LD is a medicare enrolled "Dietitian, Registered" provider in Fosston, Minnesota. Her current practice location is
900 Hilligoss Blvd Se, Fosston, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 435-1133.
Sarah M Wills I is licensed to practice in Minnesota (license number 4539) 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 1841967213.
Healthcare Provider's Profile
| Full Name | Sarah M Wills I |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 900 Hilligoss Blvd Se, Fosston, Minnesota |
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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: 1841967213
- Provider Enumeration Date: 08/24/2021
- Last Update Date: 08/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153728670
- Enrollment ID: I20210927002131
Medical Identifiers
Medical identifiers for Sarah M Wills I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841967213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1306 (North Dakota) | Secondary |
| 133V00000X | Dietitian, Registered | 4539 (Minnesota) | 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. Sarah M Wills I allows following entities to bill medicare on her behalf.
| Provider Name | St Marys Regional Health Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679561088
PECOS PAC ID: 2062326820
Enrollment ID: O20031117000090 |
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| Provider Name | First Care Medical Services |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073638565
PECOS PAC ID: 3678542842
Enrollment ID: O20040927000035 |
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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. Sarah M Wills I 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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Sarah M Wills I, RD,LD
1702 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 364-8000 | Sarah M Wills I, RD,LD
900 Hilligoss Blvd Se,
Fosston, MN 56542-1542
Ph: (218) 435-1133 |
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