Savanah K Jackson, RD is a medicare enrolled "Dietitian, Registered" provider in Buffalo, Wyoming. Her current practice location is
295 Trabing Rd, Buffalo, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 217-9388.
Savanah K Jackson is licensed to practice in Wyoming (license number 354) 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 1700487865.
Healthcare Provider's Profile
Full Name | Savanah K Jackson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 295 Trabing Rd, Buffalo, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700487865
- Provider Enumeration Date: 11/05/2020
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224577762
- Enrollment ID: I20240828000924
Medical Identifiers
Medical identifiers for Savanah K Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700487865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 354 (Wyoming) | 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. Savanah K Jackson allows following entities to bill medicare on her behalf.
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
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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. Savanah K Jackson 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 |
Savanah K Jackson, RD 295 Trabing Rd, Buffalo, WY 82834-9662 Ph: (307) 217-9388 | Savanah K Jackson, RD 295 Trabing Rd, Buffalo, WY 82834-9662 Ph: (307) 217-9388 |
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