Jennifer Wilfong, RD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Lorena, Texas. Her current practice location is
400 Gibraltar Ln, Lorena, Texas. You can reach out to her office (for appointments etc.) via phone at
(719) 439-2470.
Jennifer Wilfong is licensed to practice in Texas (license number DT83244) 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 1821606898.
Healthcare Provider's Profile
| Full Name | Jennifer Wilfong |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered - Nutrition, Pediatric |
|---|
| Location | 400 Gibraltar Ln, Lorena, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1821606898
- Provider Enumeration Date: 07/16/2020
- Last Update Date: 07/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961853965
- Enrollment ID: I20240103003720
Medical Identifiers
Medical identifiers for Jennifer Wilfong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821606898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DT83244 (Texas) | 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 Wilfong allows following entities to bill medicare on her behalf.
| Provider Name | Etsah Counseling Center, Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1427591320
PECOS PAC ID: 7719262153
Enrollment ID: O20170327000439 |
|---|
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 Wilfong 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 Wilfong, RD
400 Gibraltar Ln,
Lorena, TX 76655-3622
Ph: (719) 439-2470 | Jennifer Wilfong, RD
400 Gibraltar Ln,
Lorena, TX 76655-3622
Ph: (719) 439-2470 |
Reviews and Comments