Stephanie Nichole Allison, MS, RD, LDN, CHES is a medicare enrolled "Dietitian, Registered" provider in Round Lake, Illinois. Her current practice location is
460 S Jade Ln, Round Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 668-1639.
Stephanie Nichole Allison is licensed to practice in Illinois (license number 164.007172) 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 1528650736.
Healthcare Provider's Profile
Full Name | Stephanie Nichole Allison |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 460 S Jade Ln, Round Lake, Illinois |
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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: 1528650736
- Provider Enumeration Date: 02/09/2021
- Last Update Date: 02/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931553120
- Enrollment ID: I20230921001745
Medical Identifiers
Medical identifiers for Stephanie Nichole Allison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528650736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.007172 (Illinois) | Primary |
133V00000X | Dietitian, Registered | 3240 (Wisconsin) | Secondary |
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. Stephanie Nichole Allison allows following entities to bill medicare on her behalf.
Provider Name | Health Loft Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1912461799 PECOS PAC ID: 3274866371 Enrollment ID: O20190604003077 |
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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. Stephanie Nichole Allison 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 |
Stephanie Nichole Allison, MS, RD, LDN, CHES 460 S Jade Ln, Round Lake, IL 60073-8162 Ph: (847) 668-1639 | Stephanie Nichole Allison, MS, RD, LDN, CHES 460 S Jade Ln, Round Lake, IL 60073-8162 Ph: (847) 668-1639 |
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