Angela M Tullbane, RD, LD in Plymouth, MN - Medicare Dietitian, Registered Provider

Angela M Tullbane, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Plymouth, Minnesota. Her current practice location is 16800 37th Pl N, Ste 100, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-7870.

Angela M Tullbane is licensed to practice in Minnesota (license number 4035) 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 1689211526.

Contact Information

	Angela M Tullbane, RD, LD
	16800 37th Pl N, Ste 100, Plymouth, MN 55446
	(763) 520-7870
	(763) 520-7580

Map and Direction

Healthcare Provider's Profile

Full Name	Angela M Tullbane
Gender	Female
Speciality	Dietitian, Registered
Location	16800 37th Pl N, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689211526
Provider Enumeration Date: 12/10/2019
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5496105017
Enrollment ID: I20240122004021

Medical Identifiers

Medical identifiers for Angela M Tullbane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689211526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	4035 (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. Angela M Tullbane allows following entities to bill medicare on her behalf.

Provider Name	Infinite Health Collaborative, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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. Angela M Tullbane 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
Angela M Tullbane, RD, LD 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Angela M Tullbane, RD, LD 16800 37th Pl N, Ste 100, Plymouth, MN 55446 Ph: (763) 520-7870

Reviews and Comments

Dietitian, Registered in Plymouth, MN

Samantha Rose Hargreaves, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3500 Vicksburg Ln N # 113, Plymouth, MN 55447 Phone: 612-326-4049
Mindfully Well Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3500 Vicksburg Ln N # 113, Plymouth, MN 55447 Phone: 612-326-4049
Mrs. Lauren Ashley Schultheis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2905 Northwest Blvd Ste 230, Plymouth, MN 55441 Phone: 763-200-1121
Haley Miskowiec, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15140 8th Ave N, Plymouth, MN 55447 Phone: 612-812-9596
Janelle Fuchs, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 115, Plymouth, MN 55441 Phone: 763-577-7800 Fax: 763-577-7855
Minnesota Oncology Hematology Pa Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2805 Campus Dr, Suite 105, Plymouth, MN 55441 Phone: 763-519-7440 Fax: 763-519-7445
Gwenda Lyn Hill, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 15655 37th Ave N, Suite 100, Plymouth, MN 55446 Phone: 763-587-7900 Fax: 763-587-7701

Angela M Tullbane, RD, LD - Medicare Dietitian in Plymouth, MN