Ms Ann Marie Elizabeth Kretchik, MS, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Carbondale, Pennsylvania. Her current practice location is
203 Brooklyn St, Carbondale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 267-6594.
Ms Ann Marie Elizabeth Kretchik is licensed to practice in Pennsylvania (license number DN005393) 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 1790318053.
Healthcare Provider's Profile
| Full Name | Ms Ann Marie Elizabeth Kretchik |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 203 Brooklyn St, Carbondale, Pennsylvania |
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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: 1790318053
- Provider Enumeration Date: 02/14/2020
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597105288
- Enrollment ID: I20240429001329
Medical Identifiers
Medical identifiers for Ms Ann Marie Elizabeth Kretchik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790318053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DN005393 (Pennsylvania) | 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. Ms Ann Marie Elizabeth Kretchik allows following entities to bill medicare on her behalf.
| Provider Name | Wayne Memorial Community Health Centers |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
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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. Ms Ann Marie Elizabeth Kretchik 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 |
Ms Ann Marie Elizabeth Kretchik, MS, RD, LDN 203 Brooklyn St, Carbondale, PA 18407-2801 Ph: (570) 267-6594 | Ms Ann Marie Elizabeth Kretchik, MS, RD, LDN 203 Brooklyn St, Carbondale, PA 18407-2801 Ph: (570) 267-6594 |
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