Tri-city Nutritional Services Llc is a medicare enrolled "Dietitian, Registered" provider in Essexville, Michigan. Their current practice location is
23 W Sharlear Dr, Essexville, Michigan. You can reach out to their office (for appointments etc.) via phone at
(989) 225-3722.
Tri-city Nutritional Services Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tri-city Nutritional 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 1265943245.
Healthcare Provider's Profile
| Full Name | Tri-city Nutritional Services Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 23 W Sharlear Dr, Essexville, Michigan |
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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: 1265943245
- Provider Enumeration Date: 10/18/2017
- Last Update Date: 08/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860847183
- Enrollment ID: O20231006000358
Medical Identifiers
Medical identifiers for Tri-city Nutritional Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265943245 | 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.
Tri-city Nutritional Services Llc acts as a billing entity for following providers:
| Provider Name | Kelly J Dukarski |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1528586781
PECOS PAC ID: 6800152406
Enrollment ID: I20171115001723 |
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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. Tri-city Nutritional 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 |
|---|
Tri-city Nutritional Services Llc
23 W Sharlear Dr,
Essexville, MI 48732-1264
Ph: () - | Tri-city Nutritional Services Llc
23 W Sharlear Dr,
Essexville, MI 48732-1264
Ph: (989) 225-3722 |
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