Nikole Sprunger, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Dyess Afb, Texas. Her current practice location is
697 Louisiana Rd, Dyess Afb, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 696-1636.
Nikole Sprunger 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 1669987053.
Healthcare Provider's Profile
Full Name | Nikole Sprunger |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 697 Louisiana Rd, Dyess Afb, Texas |
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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: 1669987053
- Provider Enumeration Date: 12/06/2017
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294265310
- Enrollment ID: I20250205000191
Medical Identifiers
Medical identifiers for Nikole Sprunger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669987053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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. Nikole Sprunger allows following entities to bill medicare on her behalf.
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
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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. Nikole Sprunger 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 |
Nikole Sprunger, RDN, LD 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: () - | Nikole Sprunger, RDN, LD 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-1636 |
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