Jessica Prohn, MS, RD, CSR, LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in North Grafton, Massachusetts. Her current practice location is
35 Hingham Rd, North Grafton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 685-0624.
Jessica Prohn is licensed to practice in Massachusetts (license number 2870) 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 1225666019.
Healthcare Provider's Profile
Full Name | Jessica Prohn |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Renal |
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Location | 35 Hingham Rd, North Grafton, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225666019
- Provider Enumeration Date: 03/29/2020
- Last Update Date: 03/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507394343
- Enrollment ID: I20250108000439
Medical Identifiers
Medical identifiers for Jessica Prohn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225666019 | NPI | - | NPPES |
2870 | Other | MA | DIETITIAN/NUTRITIONIST STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 2870 (Massachusetts) | 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. Jessica Prohn allows following entities to bill medicare on her behalf.
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
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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. Jessica Prohn 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 |
Jessica Prohn, MS, RD, CSR, LDN 35 Hingham Rd, North Grafton, MA 01536-1281 Ph: () - | Jessica Prohn, MS, RD, CSR, LDN 35 Hingham Rd, North Grafton, MA 01536-1281 Ph: (508) 685-0624 |
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