Wendi F Custer, MA, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Denver, North Carolina. Her current practice location is
5734 Tipperary Dr, Denver, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 740-5681.
Wendi F Custer is licensed to practice in North Carolina (license number L001803) 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 1720555717.
Healthcare Provider's Profile
Full Name | Wendi F Custer |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 5734 Tipperary Dr, Denver, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720555717
- Provider Enumeration Date: 10/27/2018
- Last Update Date: 04/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688035355
- Enrollment ID: I20230727002269
Medical Identifiers
Medical identifiers for Wendi F Custer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720555717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L001803 (North Carolina) | 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. Wendi F Custer allows following entities to bill medicare on her behalf.
Provider Name | Nutrition Therapy Services, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073201133 PECOS PAC ID: 2860853538 Enrollment ID: O20230727001069 |
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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. Wendi F Custer 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 |
Wendi F Custer, MA, RD, LDN 5734 Tipperary Dr, Denver, NC 28037-7581 Ph: (704) 740-5681 | Wendi F Custer, MA, RD, LDN 5734 Tipperary Dr, Denver, NC 28037-7581 Ph: (704) 740-5681 |
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