Alyssa Debord, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Granville, Ohio. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Nourish, Inc. and her current practice location is
110 E Elm St Ste B, Granville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(206) 294-2425.
Alyssa Debord is licensed to practice in Ohio (license number 08569) 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 1205237898.
Healthcare Provider's Profile
| Full Name | Alyssa Debord |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 14 Years |
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| Location | 110 E Elm St Ste B, Granville, Ohio |
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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:
- Alyssa Debord graduated from medical school in 2012
NPI Data:
- NPI Number: 1205237898
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 10/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496233462
- Enrollment ID: I20260130002946
Medical Identifiers
Medical identifiers for Alyssa Debord such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205237898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 08569 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nourish, Inc. | 1557724937 | 311 |
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. Alyssa Debord 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 |
|---|
Alyssa Debord, MS, RD
110 E Elm St Ste B,
Granville, OH 43023-1462
Ph: (206) 294-2425 | Alyssa Debord, MS, RD
110 E Elm St Ste B,
Granville, OH 43023-1462
Ph: (206) 294-2425 |
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