Tenika Leigh Eardley, RDN is a medicare enrolled "Dietitian, Registered" provider in Greybull, Wyoming. Her current practice location is
1351 N 8th St, Greybull, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 679-4639.
Tenika Leigh Eardley is licensed to practice in Wyoming (license number 223) 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 1831690841.
Healthcare Provider's Profile
| Full Name | Tenika Leigh Eardley |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1351 N 8th St, Greybull, Wyoming |
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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: 1831690841
- Provider Enumeration Date: 02/24/2018
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537582408
- Enrollment ID: I20200710000885
Medical Identifiers
Medical identifiers for Tenika Leigh Eardley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831690841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 223 (Wyoming) | 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. Tenika Leigh Eardley allows following entities to bill medicare on her behalf.
| Provider Name | Big Horn Nutrition Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770107948
PECOS PAC ID: 2365865235
Enrollment ID: O20200710000775 |
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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. Tenika Leigh Eardley 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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Tenika Leigh Eardley, RDN
1351 N 8th St,
Greybull, WY 82426-1504
Ph: (307) 679-4639 | Tenika Leigh Eardley, RDN
1351 N 8th St,
Greybull, WY 82426-1504
Ph: (307) 679-4639 |
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