Renal Rd Wv Llc is a medicare enrolled "Dietitian, Registered" provider in Barboursville, West Virginia. Their current practice location is
1811 Coffman St, Barboursville, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 617-4067.
Renal Rd Wv Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Renal Rd Wv Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881276665.
Healthcare Provider's Profile
Full Name | Renal Rd Wv Llc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 1811 Coffman St, Barboursville, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881276665
- Provider Enumeration Date: 04/22/2021
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153730833
- Enrollment ID: O20210510001762
Medical Identifiers
Medical identifiers for Renal Rd Wv Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881276665 | 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.
Renal Rd Wv Llc acts as a billing entity for following providers:
Provider Name | Jillian Pate |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1245825223 PECOS PAC ID: 2062821747 Enrollment ID: I20210510001829 |
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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. Renal Rd Wv Llc 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 |
Renal Rd Wv Llc 1811 Coffman St, Barboursville, WV 25504-2023 Ph: (304) 617-4067 | Renal Rd Wv Llc 1811 Coffman St, Barboursville, WV 25504-2023 Ph: (304) 617-4067 |
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