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.
Healthcare Provider's Profile
| Full Name | Shawn Idell |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1800 W University Blvd, Durant, Oklahoma |
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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: 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. |
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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. 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 |
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