Jerri K Aultman, RD in Tifton, GA - Medicare Dietitian, Registered Provider

Jerri K Aultman, RD is a medicare enrolled "Dietitian, Registered" provider in Tifton, Georgia. Her current practice location is 1007 Greenfield Dr, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 382-9733.

Jerri K Aultman is licensed to practice in Georgia (license number LD001366) 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 1982908281.

Contact Information

	Jerri K Aultman, RD
	1007 Greenfield Dr, Tifton, GA 31794-3795
	(229) 382-9733
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jerri K Aultman
Gender	Female
Speciality	Dietitian, Registered
Location	1007 Greenfield Dr, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982908281
Provider Enumeration Date: 12/29/2010
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8729269329
Enrollment ID: I20110301000905

Medical Identifiers

Medical identifiers for Jerri K Aultman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982908281	NPI	-	NPPES
LD001366	Other	GA	STATE LICENSE
834511	Other	GA	REGISTERED DIETITIAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD001366 (Georgia)	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. Jerri K Aultman allows following entities to bill medicare on her behalf.

Provider Name	Tift Regional Health System Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409

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. Jerri K Aultman 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
Jerri K Aultman, RD 1007 Greenfield Dr, Tifton, GA 31794-3795 Ph: (229) 382-9733	Jerri K Aultman, RD 1007 Greenfield Dr, Tifton, GA 31794-3795 Ph: (229) 382-9733

Reviews and Comments

Dietitian, Registered in Tifton, GA

Elaina Harden, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
Lauren B Saxena, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 39 Kent Rd, Suite 5, Tifton, GA 31794 Phone: 229-353-7337
Lorenzo Gomez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6165
Megan Brannen Tyson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Ridge Ave N, Tifton, GA 31794 Phone: 912-687-1400
Taylor Burrage, RD Dietitian Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Erin Elizabeth Clemmons, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Linda Moore, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722

Jerri K Aultman, RD - Medicare Dietitian in Tifton, GA