Mrs Amanda Henderson Hubbard, RD is a medicare enrolled "Dietitian, Registered" provider in Graniteville, South Carolina. Her current practice location is
611 Climbing Rose Blvd, Apt L, Graniteville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 374-7023.
Mrs Amanda Henderson Hubbard is licensed to practice in Georgia (license number LD003929) 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 1285036962.
Healthcare Provider's Profile
Full Name | Mrs Amanda Henderson Hubbard |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 611 Climbing Rose Blvd, Graniteville, South Carolina |
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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: 1285036962
- Provider Enumeration Date: 09/24/2014
- Last Update Date: 09/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496102071
- Enrollment ID: I20231104000069
Medical Identifiers
Medical identifiers for Mrs Amanda Henderson Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285036962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD003929 (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. Mrs Amanda Henderson Hubbard allows following entities to bill medicare on her behalf.
Provider Name | Delfina Medical Group Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1295447472 PECOS PAC ID: 0749646032 Enrollment ID: O20230511000482 |
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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. Mrs Amanda Henderson Hubbard 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 |
Mrs Amanda Henderson Hubbard, RD 611 Climbing Rose Blvd, Apt L, Graniteville, SC 29829-4110 Ph: (803) 374-7023 | Mrs Amanda Henderson Hubbard, RD 611 Climbing Rose Blvd, Apt L, Graniteville, SC 29829-4110 Ph: (803) 374-7023 |
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