Rachael Jean Shinkle, RD LD CDE is a medicare enrolled "Dietitian, Registered" provider in Fredonia, Kansas. Her current practice location is
314 N 7th St, Fredonia, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 288-0774.
Rachael Jean Shinkle is licensed to practice in Kansas (license number 1832) 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 1649601683.
Healthcare Provider's Profile
| Full Name | Rachael Jean Shinkle |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 314 N 7th St, Fredonia, Kansas |
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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: 1649601683
- Provider Enumeration Date: 12/02/2013
- Last Update Date: 10/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 1951687615
- Enrollment ID: I20180117002476
Medical Identifiers
Medical identifiers for Rachael Jean Shinkle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649601683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1832 (Kansas) | 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. Rachael Jean Shinkle allows following entities to bill medicare on her behalf.
| Provider Name | Vigilias Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407242241
PECOS PAC ID: 9133433279
Enrollment ID: O20180108002149 |
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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. Rachael Jean Shinkle 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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Rachael Jean Shinkle, RD LD CDE
8220 Elk Rd,
Fredonia, KS 66736-7460
Ph: (620) 288-0774 | Rachael Jean Shinkle, RD LD CDE
314 N 7th St,
Fredonia, KS 66736-1337
Ph: (620) 288-0774 |
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