Ms Jennifer Lee Grunert, RD is a medicare enrolled "Dietitian, Registered" provider in Dillingham, Alaska. Her current practice location is
6000 Kanakanak Rd, Dillingham, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 749-4113.
Ms Jennifer Lee Grunert is licensed to practice in * (Not Available) (license number ) 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 1538482054.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Lee Grunert |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 6000 Kanakanak Rd, Dillingham, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538482054
- Provider Enumeration Date: 03/11/2010
- Last Update Date: 08/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163556275
- Enrollment ID: I20100811000554
Medical Identifiers
Medical identifiers for Ms Jennifer Lee Grunert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538482054 | NPI | - | NPPES |
| 1005509 | Other | | REGISTERD DIETITIAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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 Jennifer Lee Grunert allows following entities to bill medicare on her behalf.
| Provider Name | Bristol Bay Area Health Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235291246
PECOS PAC ID: 5890699920
Enrollment ID: O20031120000998 |
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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 Jennifer Lee Grunert 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 |
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Ms Jennifer Lee Grunert, RD
7708 E 20th Ave,
Anchorage, AK 99504
Ph: (907) 843-1677 | Ms Jennifer Lee Grunert, RD
6000 Kanakanak Rd,
Dillingham, AK 99576-0130
Ph: (907) 749-4113 |
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