Tammy Licari, RD in Hibbing, MN - Medicare Dietitian, Registered Provider

Tammy Licari, RD is a medicare enrolled "Dietitian, Registered" provider in Hibbing, Minnesota. Her current practice location is 1120 E 34th St, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 362-7100.

Tammy Licari is licensed to practice in Minnesota (license number 3373) 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 1326353483.

Contact Information

	Tammy Licari, RD
	1120 E 34th St, Hibbing, MN 55746-2909
	(218) 362-7100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tammy Licari
Gender	Female
Speciality	Dietitian, Registered
Location	1120 E 34th St, Hibbing, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326353483
Provider Enumeration Date: 08/13/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4688949415
Enrollment ID: I20171004002956

Medical Identifiers

Medical identifiers for Tammy Licari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326353483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3373 (Minnesota)	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. Tammy Licari allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Hospital Of Duluth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

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. Tammy Licari 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
Tammy Licari, RD 1120 E 34th St, Hibbing, MN 55746-2909 Ph: (218) 362-7100	Tammy Licari, RD 1120 E 34th St, Hibbing, MN 55746-2909 Ph: (218) 362-7100

Reviews and Comments

Dietitian, Registered in Hibbing, MN

Ms. Kimberly Louise Johnson, R.D.L.D.,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-362-6608 Fax: 218-362-6617
Meredith Q Johnson, RD/LD Dietitian Medicare: Medicare Enrolled Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100
Janelle Bartol Lund, R.D.L.D.,CDE Dietitian Medicare: Medicare Enrolled Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881
Rebecca Noelle Lind, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881
Elizabeth Marie Brownlee, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-362-6921

Tammy Licari, RD - Medicare Dietitian in Hibbing, MN