Big Horn Nutrition, Llc is a medicare enrolled "Dietitian, Registered" provider in Greybull, Wyoming. Their current practice location is
1351 N 8th St, Greybull, Wyoming. You can reach out to their office (for appointments etc.) via phone at
(307) 679-4639.
Big Horn Nutrition, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Big Horn Nutrition, 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 1770107948.
Healthcare Provider's Profile
| Full Name | Big Horn Nutrition, Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 1351 N 8th St, Greybull, Wyoming |
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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: 1770107948
- Provider Enumeration Date: 06/03/2020
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365865235
- Enrollment ID: O20200710000775
Medical Identifiers
Medical identifiers for Big Horn Nutrition, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770107948 | 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.
Big Horn Nutrition, Llc acts as a billing entity for following providers:
| Provider Name | Tenika Leigh Eardley |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1831690841
PECOS PAC ID: 9537582408
Enrollment ID: I20200710000885 |
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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. Big Horn Nutrition, 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 |
|---|
Big Horn Nutrition, Llc
1351 N 8th St,
Greybull, WY 82426-1504
Ph: (307) 679-4639 | Big Horn Nutrition, Llc
1351 N 8th St,
Greybull, WY 82426-1504
Ph: (307) 679-4639 |
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