Shawn Idell, RD, LD in Durant, OK - Medicare Dietitian, Registered Provider

Shawn Idell, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Durant, Oklahoma. Her current practice location is 1800 W University Blvd, Durant, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 924-3080.

Shawn Idell is licensed to practice in Oklahoma (license number 509) 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 1942654819.

Contact Information

	Shawn Idell, RD, LD
	1800 W University Blvd, Durant, OK 74701-3006
	(580) 924-3080
	(580) 931-2048

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn Idell
Gender	Female
Speciality	Dietitian, Registered
Location	1800 W University Blvd, Durant, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942654819
Provider Enumeration Date: 04/18/2016
Last Update Date: 04/18/2016

Medicare PECOS Information:

PECOS PAC ID: 0749638443
Enrollment ID: I20231117002720

Medical Identifiers

Medical identifiers for Shawn Idell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942654819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	509 (Oklahoma)	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. Shawn Idell 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. Shawn Idell 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
Shawn Idell, RD, LD 1800 W University Blvd, Durant, OK 74701-3006 Ph: (580) 924-3080	Shawn Idell, RD, LD 1800 W University Blvd, Durant, OK 74701-3006 Ph: (580) 924-3080

Reviews and Comments

Dietitian, Registered in Durant, OK

Kyla Michelle Brown, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080
Chase Daniel Ward, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1801 Chukkahina, Durant, OK 74701 Phone: 580-920-2100
Georgia M. Banther, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1610 W University Blvd, Durant, OK 74701 Phone: 580-924-3400 Fax: 580-924-7732
Ashley Morgan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1801 Chukka Hina, Durant, OK 74701 Phone: 580-920-2100

Shawn Idell, RD, LD - Medicare Dietitian in Durant, OK