Whitney Petterborg, RDN is a medicare enrolled "Dietitian, Registered" provider in Providence, Utah. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Ihc Health Services Inc and her current practice location is
517 W 100 N Ste 110, Providence, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 755-6075.
Whitney Petterborg is licensed to practice in Utah (license number 86118135) 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 1003580002.
Healthcare Provider's Profile
| Full Name | Whitney Petterborg |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 7 Years |
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| Location | 517 W 100 N Ste 110, Providence, Utah |
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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:
- Whitney Petterborg graduated from medical school in 2019
NPI Data:
- NPI Number: 1003580002
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 08/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103283833
- Enrollment ID: I20231010002489
Medical Identifiers
Medical identifiers for Whitney Petterborg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003580002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86118135 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ihc Health Services Inc | 1850209420 | 3531 |
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. Whitney Petterborg allows following entities to bill medicare on her behalf.
| Provider Name | Ihc Health Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Whitney Petterborg 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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Whitney Petterborg, RDN
172 Meadow Cir,
Logan, UT 84321-5095
Ph: () - | Whitney Petterborg, RDN
517 W 100 N Ste 110,
Providence, UT 84332-9826
Ph: (435) 755-6075 |
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