Janae Kinikin, RDN is a medicare enrolled "Dietitian, Registered" provider in Riverdale, Utah. Her current practice location is
828 W 4350 S, Riverdale, Utah. You can reach out to her office (for appointments etc.) via phone at
(385) 244-9573.
Janae Kinikin is licensed to practice in * (Not Available) (license number 86101171) 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 1881248698.
Healthcare Provider's Profile
| Full Name | Janae Kinikin |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 828 W 4350 S, Riverdale, Utah |
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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: 1881248698
- Provider Enumeration Date: 07/30/2019
- Last Update Date: 11/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628483559
- Enrollment ID: I20241115004254
Medical Identifiers
Medical identifiers for Janae Kinikin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881248698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86101171 (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Janae Kinikin allows following entities to bill medicare on her behalf.
| Provider Name | Memorial Hospital Of Converse County |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20031203000672 |
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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. Janae Kinikin 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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Janae Kinikin, RDN
828 W 4350 S,
Riverdale, UT 84405-3426
Ph: (385) 244-9573 | Janae Kinikin, RDN
828 W 4350 S,
Riverdale, UT 84405-3426
Ph: (385) 244-9573 |
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