Jennifer M Prouse, RD in Vancouver, WA - Medicare Dietitian, Registered Provider

Jennifer M Prouse, RD is a medicare enrolled "Dietitian, Registered" provider in Vancouver, Washington. Her current practice location is 400 Ne Mother Joseph Pl, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 514-2559.

Jennifer M Prouse is licensed to practice in Washington (license number DI00001264) 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 1083797146.

Contact Information

	Jennifer M Prouse, RD
	400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200
	(360) 514-2559
	(360) 514-3590

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer M Prouse
Gender	Female
Speciality	Dietitian, Registered
Location	400 Ne Mother Joseph Pl, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083797146
Provider Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2466640628
Enrollment ID: I20110103000902

Medical Identifiers

Medical identifiers for Jennifer M Prouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083797146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI00001264 (Washington)	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. Jennifer M Prouse allows following entities to bill medicare on her behalf.

Provider Name	Peacehealth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831

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. Jennifer M Prouse 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
Jennifer M Prouse, RD 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 Ph: () -	Jennifer M Prouse, RD 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 Ph: (360) 514-2559

Reviews and Comments

Dietitian, Registered in Vancouver, WA

Patricia K Mortell, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-397-8000 Fax: 360-397-8110
Meghan Jane Leineweber, RDN, SNS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1605 Nw 60th St, Vancouver, WA 98663 Phone: 503-740-6196
Jan M Apland-curtis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, Building 17, Vancouver, WA 98661 Phone: 360-397-8000 Fax: 360-397-8110
Ms. Thea Lynch, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E 4th Plain Blvd, Vancouver, WA 98661 Phone: 510-759-4746
Jennifer J Newman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-514-3475 Fax: 360-514-3590
Mrs. Sydney Davis, MDA, RD, CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Ne 92nd Ave, Vancouver, WA 98664 Phone: 360-514-2320

Jennifer M Prouse, RD - Medicare Dietitian in Vancouver, WA