Diane Hodge, in Prescott, AZ - Medicare Dietitian, Registered Provider

Diane Hodge, is a medicare enrolled "Dietitian, Registered - Nutrition, Metabolic" provider in Prescott, Arizona. Her current practice location is 500 N Us Highway 89, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 445-4860.

Diane Hodge is licensed to practice in Georgia (license number 00800) 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 1699449199.

Contact Information

	Diane Hodge,
	500 N Us Highway 89, Prescott, AZ 86313-5001
	(928) 445-4860
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Hodge
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Metabolic
Location	500 N Us Highway 89, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699449199
Provider Enumeration Date: 08/06/2021
Last Update Date: 08/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2365983897
Enrollment ID: I20240924001176

Medical Identifiers

Medical identifiers for Diane Hodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699449199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	00800 (Georgia)	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. Diane Hodge allows following entities to bill medicare on her behalf.

Provider Name	The Fort Defiance Indian Hospital Board, Incorporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Diane Hodge 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
Diane Hodge, 500 N Us Highway 89, Prescott, AZ 86313-5001 Ph: (928) 445-4860	Diane Hodge, 500 N Us Highway 89, Prescott, AZ 86313-5001 Ph: (928) 445-4860

Reviews and Comments

Dietitian, Registered in Prescott, AZ

Emily Tholson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1819 Windy Walk Lane, Prescott, AZ 86305 Phone: 928-499-0912
Wendy E Nelson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-2700
Miss Sarah Katherine Hunt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-771-5168
Destiny Brennan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 188 Parker Dr, Prescott, AZ 86303 Phone: 928-925-5857
Amanda J Wikan, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 730 N Monarch Dr, Prescott, AZ 86305 Phone: 563-277-2015
Tara Rebele, MPH, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1124 E Timber Ridge Rd, Prescott, AZ 86303 Phone: 310-384-1546
Mrs. Kathryn Kimball, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Clearwater Drive, Suite B, Prescott, AZ 86305 Phone: 928-515-1755

Diane Hodge, - Medicare Dietitian in Prescott, AZ