Stride Nutrition And Lifestyle Services Llc is a medicare enrolled "Dietitian, Registered" provider in Vandalia, Illinois. Their current practice location is
2203 W Jefferson St Ste A, Vandalia, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 267-3012.
Stride Nutrition And Lifestyle Services Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Stride Nutrition And Lifestyle 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 1649989005.
Healthcare Provider's Profile
| Full Name | Stride Nutrition And Lifestyle Services Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 2203 W Jefferson St Ste A, Vandalia, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649989005
- Provider Enumeration Date: 11/15/2022
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941662316
- Enrollment ID: O20230816003895
Medical Identifiers
Medical identifiers for Stride Nutrition And Lifestyle Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649989005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Stride Nutrition And Lifestyle Services Llc acts as a billing entity for following providers:
| Provider Name | Joleen Elizabeth Murray |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1720663610
PECOS PAC ID: 7214399682
Enrollment ID: I20230816003886 |
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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. Stride Nutrition And Lifestyle 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 |
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Stride Nutrition And Lifestyle Services Llc
427 Il 185,
Vandalia, IL 62471-3437
Ph: (618) 267-3012 | Stride Nutrition And Lifestyle Services Llc
2203 W Jefferson St Ste A,
Vandalia, IL 62471-1465
Ph: (618) 267-3012 |
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