Jacqueline Lynn Bertelsen, RD, LD, LMNT in Omaha, NE - Medicare Registered Dietitian Or Nutrition Professional Provider

Jacqueline Lynn Bertelsen, RD, LD, LMNT is a medicare enrolled "Dietitian, Registered" provider in Omaha, Nebraska. She graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Physicians Clinic Inc and her current practice location is 8111 Dodge St Ste 332, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 354-5947.

Jacqueline Lynn Bertelsen is licensed to practice in Nebraska (license number 345) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427181692.

Contact Information

	Jacqueline Lynn Bertelsen, RD, LD, LMNT
	8111 Dodge St Ste 332, Omaha, NE 68114-4119
	(402) 354-5947
	(403) 354-5651

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Lynn Bertelsen
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	41 Years
Location	8111 Dodge St Ste 332, Omaha, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Lynn Bertelsen graduated from medical school in 1983

NPI Data:

NPI Number: 1427181692
Provider Enumeration Date: 03/14/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2860590130
Enrollment ID: I20090501000019

Medical Identifiers

Medical identifiers for Jacqueline Lynn Bertelsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427181692	NPI	-	NPPES
R011922	Other	IA	AMERICAN DIETETIC ASSOC
00248	Other	IA	IOWA DIETETIC LICENSE
345	Other	NE	NEBRASKA DIETETIC LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	345 (Nebraska)	Primary
133V00000X	Dietitian, Registered	R011922 (Iowa)	Secondary
133V00000X	Dietitian, Registered	00248 (Iowa)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Clinic Inc	4880506062	497

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. Jacqueline Lynn Bertelsen allows following entities to bill medicare on her behalf.

Provider Name	Physicians Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345

Provider Name	Nebraska Methodist Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689628372 PECOS PAC ID: 6901707447 Enrollment ID: O20040116000781

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. Jacqueline Lynn Bertelsen 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
Jacqueline Lynn Bertelsen, RD, LD, LMNT Po Box 2797, Omaha, NE 68103-2797 Ph: (402) 354-4230	Jacqueline Lynn Bertelsen, RD, LD, LMNT 8111 Dodge St Ste 332, Omaha, NE 68114-4119 Ph: (402) 354-5947

Reviews and Comments

Dietitian, Registered in Omaha, NE

Theresa Annette Herring, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4411 Center St, Suite A, Omaha, NE 68105 Phone: 402-558-3284
Children's Hospital - Diabetes Education Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge Street, Children's Hospital - Diabetes Education, Omaha, NE 68114 Phone: 402-955-3871 Fax: 402-955-8738
Childrens Hospital Clinical Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-5400
Ms. Sheri Lynn Plugge, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4101 Woolworth Ave, Omaha, NE 68105 Phone: 402-346-8800 Fax: 402-977-5603
Hy-vee Health Pc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11837 Miracle Hills Dr Ste 100, Omaha, NE 68154 Phone: 515-225-2930
Kaitlyn Pauly, MS, RD, LMNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Rm 215-26, Omaha, NE 68105 Phone: 402-599-2174
Mr. Daniel Lyle, CPT, LFC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2660 N 72nd St, Omaha, NE 68134 Phone: 402-618-2579

Jacqueline Lynn Bertelsen, RD, LD, LMNT - Medicare Dietitian in Omaha, NE