Linda Moore Pennington, MS, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Collierville, Tennessee. Her current practice location is
591 Merriweather Dr, Collierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 759-9337.
Linda Moore Pennington is licensed to practice in Tennessee (license number 772) 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 1275732752.
Healthcare Provider's Profile
| Full Name | Linda Moore Pennington |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 591 Merriweather Dr, Collierville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275732752
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 10/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537257381
- Enrollment ID: I20071113000395
Medical Identifiers
Medical identifiers for Linda Moore Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275732752 | NPI | - | NPPES |
| 103I713623 | Other | | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 918 (Arkansas) | Secondary |
| 133V00000X | Dietitian, Registered | D0936 (Mississippi) | Secondary |
| 133V00000X | Dietitian, Registered | 772 (Tennessee) | 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. Linda Moore Pennington allows following entities to bill medicare on her behalf.
| Provider Name | Dietitian Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598794497
PECOS PAC ID: 1557459393
Enrollment ID: O20071113000291 |
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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. Linda Moore Pennington 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 |
|---|
Linda Moore Pennington, MS, RD, LDN
Po Box 81,
Collierville, TN 38027-0081
Ph: (901) 759-9337 | Linda Moore Pennington, MS, RD, LDN
591 Merriweather Dr,
Collierville, TN 38017-1685
Ph: (901) 759-9337 |
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