Mrs Holly Thiele, is a medicare enrolled "Nutritionist - Nutrition, Education" provider in Norfolk, Nebraska. Her current practice location is
2700 W Norfolk Ave, Norfolk, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 844-8126.
Mrs Holly Thiele is licensed to practice in Nebraska (license number 1088) 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 1144640764.
Healthcare Provider's Profile
Full Name | Mrs Holly Thiele |
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Gender | Female |
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Speciality | Nutritionist - Nutrition, Education |
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Location | 2700 W Norfolk Ave, Norfolk, Nebraska |
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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: 1144640764
- Provider Enumeration Date: 04/22/2014
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567780174
- Enrollment ID: I20150410001728
Medical Identifiers
Medical identifiers for Mrs Holly Thiele such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144640764 | NPI | - | NPPES |
1088 | Other | NE | STATE OF NEBRASKA HHS MEDICAL NUTITION THERAPIST LICENSE |
963990 | Other | | CDR REGISTERED DIETITIAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1088 (Nebraska) | Secondary |
133NN1002X | Nutritionist - Nutrition, Education | 1088 (Nebraska) | 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 Holly Thiele allows following entities to bill medicare on her behalf.
Provider Name | Cheyenne County Hospital Association Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1487736963 PECOS PAC ID: 1658345657 Enrollment ID: O20050301000906 |
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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 Holly Thiele 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 Holly Thiele, 2700 W Norfolk Ave, Norfolk, NE 68701-4438 Ph: (402) 844-8126 | Mrs Holly Thiele, 2700 W Norfolk Ave, Norfolk, NE 68701-4438 Ph: (402) 844-8126 |
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