Teresa Brennan, RD is a medicare enrolled "Dietitian, Registered" provider in Ketchum, Idaho. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is
100 Hospital Dr, Ketchum, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 727-8800.
Teresa Brennan is licensed to practice in Idaho (license number D-1121) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700032000.
Healthcare Provider's Profile
| Full Name | Teresa Brennan |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 17 Years |
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| Location | 100 Hospital Dr, Ketchum, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teresa Brennan graduated from medical school in 2008
NPI Data:
- NPI Number: 1700032000
- Provider Enumeration Date: 08/18/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082096359
- Enrollment ID: I20220803000452
Medical Identifiers
Medical identifiers for Teresa Brennan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700032000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 961682 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | D-1121 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
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. Teresa Brennan allows following entities to bill medicare on her behalf.
| Provider Name | St Lukes Clinic - Wood River Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474 |
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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. Teresa Brennan 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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Teresa Brennan, RD
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Teresa Brennan, RD
100 Hospital Dr,
Ketchum, ID 83340
Ph: (208) 727-8800 |
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