Jacquelyn K Phillips, LD in Canfield, OH - Medicare Dietitian, Registered Provider

Jacquelyn K Phillips, LD is a medicare enrolled "Dietitian, Registered" provider in Canfield, Ohio. Her current practice location is 354 Neff Dr, Canfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 651-7571.

Jacquelyn K Phillips is licensed to practice in Ohio (license number LD.08329) 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 1245797737.

Contact Information

	Jacquelyn K Phillips, LD
	354 Neff Dr, Canfield, OH 44406-1349
	(330) 651-7571
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn K Phillips
Gender	Female
Speciality	Dietitian, Registered
Location	354 Neff Dr, Canfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245797737
Provider Enumeration Date: 02/21/2019
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4183967953
Enrollment ID: I20190517001058

Medical Identifiers

Medical identifiers for Jacquelyn K Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245797737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	LD.08329 (Ohio)	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. Jacquelyn K Phillips allows following entities to bill medicare on her behalf.

Provider Name	Ohio North East Health Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700917267 PECOS PAC ID: 1951395086 Enrollment ID: O20131028001143

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. Jacquelyn K Phillips 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
Jacquelyn K Phillips, LD 354 Neff Dr, Canfield, OH 44406-1349 Ph: () -	Jacquelyn K Phillips, LD 354 Neff Dr, Canfield, OH 44406-1349 Ph: (330) 651-7571

Reviews and Comments

Dietitian, Registered in Canfield, OH

Miss Logan N Sullivan, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8820 S Raccoon Rd, Canfield, OH 44406 Phone: 330-727-0175
Mrs. Dema Halasa Esper, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 52 Timber Run Dr., Canfield, OH 44406 Phone: 330-519-6860 Fax: 330-533-2932
Julia Lynn Arnold, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3701 Shields Rd, Canfield, OH 44406 Phone: 330-550-0593
Jennifer Sandrock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6545 Saint Andrews Dr # 1, Canfield, OH 44406 Phone: 330-328-1870
Cara Haid, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4295 Timberbrook Dr, Canfield, OH 44406 Phone: 724-989-0129
Gianna Fasline, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3694 Starrs Centre Dr, Canfield, OH 44406 Phone: 330-702-1310 Fax: 330-702-1344

Jacquelyn K Phillips, LD - Medicare Dietitian in Canfield, OH