Untamed Nutrition Therapy, Llc is a medicare enrolled "Dietitian, Registered" provider in Pacific Grove, California. Their current practice location is
621 Forest Ave Ste 3a, Pacific Grove, California. You can reach out to their office (for appointments etc.) via phone at
(517) 775-5008.
Untamed Nutrition Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Untamed Nutrition Therapy, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013665637.
Healthcare Provider's Profile
| Full Name | Untamed Nutrition Therapy, Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 621 Forest Ave Ste 3a, Pacific Grove, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013665637
- Provider Enumeration Date: 03/13/2022
- Last Update Date: 03/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567836729
- Enrollment ID: O20230330000377
Medical Identifiers
Medical identifiers for Untamed Nutrition Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013665637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Untamed Nutrition Therapy, Llc acts as a billing entity for following providers:
| Provider Name | Allison Leigh Bone |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1790227908
PECOS PAC ID: 4688931504
Enrollment ID: I20230330000544 |
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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. Untamed Nutrition Therapy, Llc 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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Untamed Nutrition Therapy, Llc
753 Laine St,
Monterey, CA 93940-1130
Ph: (517) 775-5008 | Untamed Nutrition Therapy, Llc
621 Forest Ave Ste 3a,
Pacific Grove, CA 93950-4264
Ph: (517) 775-5008 |
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