Sarah Gehring Provence, MS, RD, LDN, CDCES in Southaven, MS - Medicare Dietitian, Registered Provider

Sarah Gehring Provence, MS, RD, LDN, CDCES is a medicare enrolled "Dietitian, Registered" provider in Southaven, Mississippi. Her current practice location is 2150 Dickens Place Dr, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 387-7314.

Sarah Gehring Provence is licensed to practice in Mississippi (license number D1643) 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 1003476417.

Contact Information

	Sarah Gehring Provence, MS, RD, LDN, CDCES
	2150 Dickens Place Dr, Southaven, MS 38672-7152
	(901) 387-7314
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sarah Gehring Provence
Gender	Female
Speciality	Dietitian, Registered
Location	2150 Dickens Place Dr, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003476417
Provider Enumeration Date: 06/18/2019
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1355673765
Enrollment ID: I20240124004770

Medical Identifiers

Medical identifiers for Sarah Gehring Provence such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003476417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D1643 (Mississippi)	Primary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	2733 (Tennessee)	Secondary

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. Sarah Gehring Provence allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Sarah Gehring Provence 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
Sarah Gehring Provence, MS, RD, LDN, CDCES 2150 Dickens Place Dr, Southaven, MS 38672-7152 Ph: (901) 387-7314	Sarah Gehring Provence, MS, RD, LDN, CDCES 2150 Dickens Place Dr, Southaven, MS 38672-7152 Ph: (901) 387-7314

Reviews and Comments

Dietitian, Registered in Southaven, MS

Mrs. Jennifer E Moore, MS, RDN, LDN, CSR Dietitian Medicare: Medicare Enrolled Practice Location: 3870 Liscott Rd, Southaven, MS 38672 Phone: 702-533-2259
Mr. John Michael Dudley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6856 Cobblestone Blvd, Southaven, MS 38672 Phone: 888-416-0008
Mrs. Shirley T Davis, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6856 Cobblestone Blvd, Southaven, MS 38672 Phone: 888-416-0008 Fax: 888-416-0009
Mrs. Emily Kesler Schwartz, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3185 Fax: 662-772-3197
Jamarcus B Frazier, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 8416 Inverness Dr, Southaven, MS 38672 Phone: 901-210-1523
Miss Alissa M Villarrubia, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3188

Sarah Gehring Provence, MS, RD, LDN, CDCES - Medicare Dietitian in Southaven, MS