Seanne Jo Safaii, is a medicare enrolled "Dietitian, Registered" provider in Mccall, Idaho. Her current practice location is
1100 Heaven's Gate Ct. #1910, Mccall, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 660-7950.
Seanne Jo Safaii is licensed to practice in Idaho (license number D-750) 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 1255897708.
Healthcare Provider's Profile
| Full Name | Seanne Jo Safaii |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1100 Heaven's Gate Ct. #1910, Mccall, Idaho |
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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: 1255897708
- Provider Enumeration Date: 02/20/2019
- Last Update Date: 02/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335573773
- Enrollment ID: I20200106001910
Medical Identifiers
Medical identifiers for Seanne Jo Safaii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255897708 | NPI | - | NPPES |
| D-750 | Other | ID | IDAHO STATE BOARD OF MEDICINE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | D-750 (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. Seanne Jo Safaii allows following entities to bill medicare on her behalf.
| Provider Name | St Lukes Clinic - Mccall Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1881982510
PECOS PAC ID: 7618127994
Enrollment ID: O20121120000225 |
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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. Seanne Jo Safaii 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 |
|---|
Seanne Jo Safaii,
1100 Heaven's Gate Ct. #1910,
Mccall, ID 83638
Ph: (208) 660-7950 | Seanne Jo Safaii,
1100 Heaven's Gate Ct. #1910,
Mccall, ID 83638
Ph: (208) 660-7950 |
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