Savannah Rae Horntvedt, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Richland, Washington. Her current practice location is
940 Northgate Dr, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 942-2516.
Savannah Rae Horntvedt is licensed to practice in Washington (license number OL61433502) 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 1912690256.
Physician's Profile
Full Name | Savannah Rae Horntvedt |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 940 Northgate Dr, Richland, Washington |
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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: 1912690256
- Provider Enumeration Date: 06/01/2023
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911367727
- Enrollment ID: I20230712000804
Medical Identifiers
Medical identifiers for Savannah Rae Horntvedt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912690256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OL61433502 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OL61433502 (Washington) | Primary |
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. Savannah Rae Horntvedt 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 |
Savannah Rae Horntvedt, DO 550 Gage Blvd Ste 101, Richland, WA 99352-9532 Ph: (509) 942-3627 | Savannah Rae Horntvedt, DO 940 Northgate Dr, Richland, WA 99352-3505 Ph: (509) 942-2516 |
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