The Nourished Life Llc is a medicare enrolled "Dietitian, Registered" provider in Gillett, Pennsylvania. Their current practice location is
1863 Doty Hill Rd, Gillett, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(607) 483-5939.
The Nourished Life Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Nourished Life 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 1184358897.
Healthcare Provider's Profile
| Full Name | The Nourished Life Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 1863 Doty Hill Rd, Gillett, Pennsylvania |
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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: 1184358897
- Provider Enumeration Date: 07/11/2022
- Last Update Date: 07/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103201041
- Enrollment ID: O20220914000307
Medical Identifiers
Medical identifiers for The Nourished Life Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184358897 | 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.
The Nourished Life Llc acts as a billing entity for following providers:
| Provider Name | Alia Snyder |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1790421816
PECOS PAC ID: 3870974645
Enrollment ID: I20220914000337 |
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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. The Nourished Life 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 |
|---|
The Nourished Life Llc
1863 Doty Hill Rd,
Gillett, PA 16925-9210
Ph: () - | The Nourished Life Llc
1863 Doty Hill Rd,
Gillett, PA 16925-9210
Ph: (607) 483-5939 |
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