Clara Marie Vancura, RD is a medicare enrolled "Dietitian, Registered" provider in Long Prairie, Minnesota. Her current practice location is
50 Centracare Dr, Long Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 732-7217.
Clara Marie Vancura is licensed to practice in Minnesota (license number 3227) 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 1770143273.
Healthcare Provider's Profile
| Full Name | Clara Marie Vancura |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 50 Centracare Dr, Long Prairie, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770143273
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 06/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557697067
- Enrollment ID: I20190722001779
Medical Identifiers
Medical identifiers for Clara Marie Vancura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770143273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 3227 (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. Clara Marie Vancura allows following entities to bill medicare on her behalf.
| Provider Name | Centracare Health System - Long Prairie |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20050823000460 |
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| Provider Name | Centracare Health System - Long Prairie |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20061104000579 |
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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. Clara Marie Vancura 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 |
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Clara Marie Vancura, RD
50 Centracare Dr,
Long Prairie, MN 56347-2100
Ph: () - | Clara Marie Vancura, RD
50 Centracare Dr,
Long Prairie, MN 56347-2100
Ph: (320) 732-7217 |
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