Mrs Jodi A Pettersen, RD in Carson City, NV - Medicare Registered Dietitian Or Nutrition Professional Provider

Mrs Jodi A Pettersen, RD is a medicare enrolled "Dietitian, Registered" provider in Carson City, Nevada. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Great Basin Nutrition Llc and her current practice location is 783 Basque Way, Carson City, Nevada. You can reach out to her office (for appointments etc.) via phone at (775) 720-3490.

Mrs Jodi A Pettersen is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598818619.

Contact Information

	Mrs Jodi A Pettersen, RD
	783 Basque Way, Carson City, NV 89706-7981
	(775) 720-3490
	(775) 888-9510

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jodi A Pettersen
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	32 Years
Location	783 Basque Way, Carson City, Nevada
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jodi A Pettersen graduated from medical school in 1992

NPI Data:

NPI Number: 1598818619
Provider Enumeration Date: 01/19/2007
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 7214956085
Enrollment ID: I20051122000373

Medical Identifiers

Medical identifiers for Mrs Jodi A Pettersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598818619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Great Basin Nutrition Llc	2365783115	3

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 Jodi A Pettersen allows following entities to bill medicare on her behalf.

Provider Name	Great Basin Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053883520 PECOS PAC ID: 2365783115 Enrollment ID: O20190404002583

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 Jodi A Pettersen 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 Jodi A Pettersen, RD 783 Basque Way, Carson City, NV 89706-7981 Ph: (775) 720-3490	Mrs Jodi A Pettersen, RD 783 Basque Way, Carson City, NV 89706-7981 Ph: (775) 720-3490

Reviews and Comments

Dietitian, Registered in Carson City, NV

Silver State Nutrition Llp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 141 Plantation Dr, Carson City, NV 89703 Phone: 775-888-9510
Jessica Jane Chandler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8884
Great Basin Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 783 Basque Way Ste 103, Carson City, NV 89706 Phone: 775-720-3490 Fax: 775-245-2867
Bret Hilding Sarnquist, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Parkway, Clinical Nutrition Department, Carson Tahoe Health, Carson City, NV 89703 Phone: 775-445-8884 Fax: 775-888-3220
Hillary Lawson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8035
Sierra Raven Kirby, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8820
Mrs. Amy Marie Bottenberg, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 550 W Washington St Ste 1, Carson City, NV 89703 Phone: 775-883-3953 Fax: 775-885-2785

Mrs Jodi A Pettersen, RD - Medicare Dietitian in Carson City, NV