Stormi Niemann, in Boise, ID - Medicare Dietitian, Registered Provider

Stormi Niemann, is a medicare enrolled "Dietitian, Registered" provider in Boise, Idaho. Her current practice location is 305 E Jefferson St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-7081.

Stormi Niemann is licensed to practice in Idaho (license number D-1328) 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 1053010397.

Contact Information

	Stormi Niemann,
	305 E Jefferson St, Boise, ID 83712-6231
	(208) 381-7081
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stormi Niemann
Gender	Female
Speciality	Dietitian, Registered
Location	305 E Jefferson St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053010397
Provider Enumeration Date: 02/27/2023
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5496111007
Enrollment ID: I20230523002404

Medical Identifiers

Medical identifiers for Stormi Niemann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053010397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86290639 (* (Not Available))	Secondary
133V00000X	Dietitian, Registered	D-1328 (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. Stormi Niemann allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Stormi Niemann 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
Stormi Niemann, 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Stormi Niemann, 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-7081

Reviews and Comments

Dietitian, Registered in Boise, ID

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Stormi Niemann, - Medicare Dietitian in Boise, ID