Sparr Nutrition Services Llc is a medicare enrolled "Dietitian, Registered" provider in Westbloomfield, Michigan. Their current practice location is
1957 Midchester Drive, Westbloomfield, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 760-7462.
Sparr Nutrition Services Llc is licensed to practice in Michigan (license number 847864) and it also participates in the medicare program. Sparr Nutrition Services Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902325293.
Healthcare Provider's Profile
Full Name | Sparr Nutrition Services Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 1957 Midchester Drive, Westbloomfield, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902325293
- Provider Enumeration Date: 09/18/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385919877
- Enrollment ID: O20171010000832
Medical Identifiers
Medical identifiers for Sparr Nutrition Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902325293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 847864 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sparr Nutrition Services Llc acts as a billing entity for following providers:
Provider Name | Poornima Samandur |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1578097291 PECOS PAC ID: 2264707751 Enrollment ID: I20171010000982 |
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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. Sparr Nutrition Services Llc 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 |
Sparr Nutrition Services Llc 1957 Midchester Dr, West Bloomfield, MI 48324-1164 Ph: (248) 760-7462 | Sparr Nutrition Services Llc 1957 Midchester Drive, Westbloomfield, MI 48324 Ph: (248) 760-7462 |
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