Jennifer Rachelle Holman, RD/LD-CDE - Medicare Dietitian in Sallisaw, OK

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Jennifer Rachelle Holman, RD/LD-CDE is a medicare enrolled "Dietitian, Registered" provider in Sallisaw, Oklahoma. Her current practice location is 408 S Cherry St, Sallisaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 774-5074.

Jennifer Rachelle Holman is licensed to practice in Oklahoma (license number LD1057) 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 1417069782.

Contact Information

Jennifer Rachelle Holman, RD/LD-CDE
408 S Cherry St,
Sallisaw, OK 74955-6602
(918) 774-5074
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Rachelle Holman
GenderFemale
SpecialityDietitian, Registered
Location408 S Cherry St, Sallisaw, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417069782
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 08/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7719890219
  • Enrollment ID: I20031111000193

Medical Identifiers

Medical identifiers for Jennifer Rachelle Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417069782NPI-NPPES
200057610AMedicaidOK
200057610BOtherOKOHCA DDSD WAIVER
8E279BOtherOKPART B

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD1057 (Oklahoma)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 Rachelle Holman allows following entities to bill medicare on her behalf.
Provider NameCherokee Nation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628

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 Rachelle Holman 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 AddressPractice Location Address
Jennifer Rachelle Holman, RD/LD-CDE
408 S Cherry St,
Sallisaw, OK 74955-6602

Ph: (918) 774-5074		Jennifer Rachelle Holman, RD/LD-CDE
408 S Cherry St,
Sallisaw, OK 74955-6602

Ph: (918) 774-5074

Reviews and Comments


Dietitian, Registered in Sallisaw, OK

Mrs. Elise Rose Cooper-horne, RD,LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 301 S. Jt Stites, Sallisaw, OK 74955
Phone: 918-775-9150    
Mrs. Cheryl Gaines Johnson, RD/LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 301 J T Stites Blvd, Sallisaw, OK 74955
Phone: 918-774-1490    Fax: 918-774-1425
Mrs. Natalie Elise Russell, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 301 J T Stites Blvd, Sallisaw, OK 74955
Phone: 918-774-1481    
Mrs. Tabitha Joanne Ford, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 301 J T Stites Blvd, Sallisaw, OK 74955
Phone: 918-774-1492    Fax: 918-774-1425

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.