Kylie Peterson, RDN, CD, CDE in Layton, UT - Medicare Dietitian, Registered Provider

Kylie Peterson, RDN, CD, CDE is a medicare enrolled "Dietitian, Registered" provider in Layton, Utah. Her current practice location is 201 W Layton Pkwy, Layton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 543-6089.

Kylie Peterson is licensed to practice in Utah (license number 1082011) 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 1699134809.

Contact Information

	Kylie Peterson, RDN, CD, CDE
	201 W Layton Pkwy, Layton, UT 84041-3692
	(801) 543-6089
	(801) 543-6064

Map and Direction

Healthcare Provider's Profile

Full Name	Kylie Peterson
Gender	Female
Speciality	Dietitian, Registered
Location	201 W Layton Pkwy, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699134809
Provider Enumeration Date: 02/16/2016
Last Update Date: 03/19/2019

Medicare PECOS Information:

PECOS PAC ID: 1254673817
Enrollment ID: I20250129001878

Medical Identifiers

Medical identifiers for Kylie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699134809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-900 (Idaho)	Secondary
133V00000X	Dietitian, Registered	1082011 (Utah)	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. Kylie Peterson allows following entities to bill medicare on her behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Kylie Peterson 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
Kylie Peterson, RDN, CD, CDE 201 W Layton Pkwy, Layton, UT 84041-3692 Ph: (801) 543-6089	Kylie Peterson, RDN, CD, CDE 201 W Layton Pkwy, Layton, UT 84041-3692 Ph: (801) 543-6089

Reviews and Comments

Dietitian, Registered in Layton, UT

Taylor Chan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2984 N Hill Field Rd Ste A1, Layton, UT 84041 Phone: 443-987-7526
Natasha Lyn Mills, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr Bldg Room, Layton, UT 84041 Phone: 801-807-7360 Fax: 801-807-7363
Kelsey Bird, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-479-0312
Mrs. Julie Anne Hansen, M.S., R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1904 West Gordon Avenue, Layton, UT 84041 Phone: 801-444-0794
Mrs. Nichole Laura Stahle, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-807-7179
Mesha Fagg, RDN CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 3225 W Gordon Ave Ste 1, Layton, UT 84041 Phone: 801-397-6150 Fax: 801-397-6151
Amy K Wight, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 2075 University Park Blvd, Layton, UT 84041 Phone: 801-779-6200 Fax: 801-779-6203

Kylie Peterson, RDN, CD, CDE - Medicare Dietitian in Layton, UT