Miss Kelly Kathleen Otoole Wood, RDN, LDN - Medicare Dietitian in Boise, ID

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Miss Kelly Kathleen Otoole Wood, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Boise, Idaho. Her current practice location is 6126 W State St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 407-8921.

Miss Kelly Kathleen Otoole Wood is licensed to practice in Idaho (license number D-460) 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 1790288124.

Contact Information

Miss Kelly Kathleen Otoole Wood, RDN, LDN
6126 W State St,
Boise, ID 83703-2741
(208) 407-8921
(208) 694-7837

Map and Direction




Healthcare Provider's Profile

Full NameMiss Kelly Kathleen Otoole Wood
GenderFemale
SpecialityDietitian, Registered
Location6126 W State St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790288124
  • Provider Enumeration Date: 03/12/2018
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335403062
  • Enrollment ID: I20180504002199

Medical Identifiers

Medical identifiers for Miss Kelly Kathleen Otoole Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790288124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered D-460 (Idaho)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. Miss Kelly Kathleen Otoole Wood allows following entities to bill medicare on her behalf.
Provider NameIdaho Nutrition Associates Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1568992105
PECOS PAC ID: 8123399367
Enrollment ID: O20170804003437

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. Miss Kelly Kathleen Otoole Wood 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 AddressPractice Location Address
Miss Kelly Kathleen Otoole Wood, RDN, LDN
13447 N 2nd Ave,
Boise, ID 83714-9409

Ph: (208) 407-8921		Miss Kelly Kathleen Otoole Wood, RDN, LDN
6126 W State St,
Boise, ID 83703-2741

Ph: (208) 407-8921

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.