Natasha Dawn Bordeaux, is a medicare enrolled "Dietitian, Registered" provider in Kayenta, Arizona. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Woodrow Wilson Keeble Memorial Health Care Center and her current practice location is
Hwy 160 Mp 394.3, Kayenta, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 697-4000.
Natasha Dawn Bordeaux 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 1639734890.
Healthcare Provider's Profile
| Full Name | Natasha Dawn Bordeaux |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 9 Years |
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| Location | Hwy 160 Mp 394.3, Kayenta, Arizona |
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| 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:
- Natasha Dawn Bordeaux graduated from medical school in 2016
NPI Data:
- NPI Number: 1639734890
- Provider Enumeration Date: 05/03/2019
- Last Update Date: 05/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800216920
- Enrollment ID: I20201012001214
Medical Identifiers
Medical identifiers for Natasha Dawn Bordeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639734890 | 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 |
| Woodrow Wilson Keeble Memorial Health Care Center | 1850295940 | 20 |
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. Natasha Dawn Bordeaux allows following entities to bill medicare on her behalf.
| Provider Name | Woodrow Wilson Keeble Memorial Health Care Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810 |
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| Provider Name | Dulce Health Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750388963 PECOS PAC ID: 7012991839 Enrollment ID: O20040617000747 |
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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. Natasha Dawn Bordeaux 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 |
Natasha Dawn Bordeaux, Po Box 915, Kayenta, AZ 86033-0915 Ph: (928) 697-4210 | Natasha Dawn Bordeaux, Hwy 160 Mp 394.3, Kayenta, AZ 86033 Ph: (928) 697-4000 |
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