Angelica Karina Mariscal, RDN in Henderson, NV - Medicare Dietitian, Registered Provider

Angelica Karina Mariscal, RDN is a medicare enrolled "Dietitian, Registered" provider in Henderson, Nevada. Her current practice location is 871 Coronado Center Dr Ste 200, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 830-9685.

Angelica Karina Mariscal is licensed to practice in Nevada (license number 39876-DI-1) 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 1205534906.

Contact Information

	Angelica Karina Mariscal, RDN
	871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977
	(702) 830-9685
	(702) 623-2921

Map and Direction

Healthcare Provider's Profile

Full Name	Angelica Karina Mariscal
Gender	Female
Speciality	Dietitian, Registered
Location	871 Coronado Center Dr Ste 200, Henderson, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205534906
Provider Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8123491586
Enrollment ID: I20230306001188

Medical Identifiers

Medical identifiers for Angelica Karina Mariscal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205534906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	39876-DI-1 (Nevada)	Primary
133V00000X	Dietitian, Registered	(Nevada)	Secondary

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. Angelica Karina Mariscal allows following entities to bill medicare on her behalf.

Provider Name	Am Nutrition Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20200306001454

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. Angelica Karina Mariscal 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
Angelica Karina Mariscal, RDN 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825	Angelica Karina Mariscal, RDN 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 Ph: (702) 830-9685

Reviews and Comments

Dietitian, Registered in Henderson, NV

Jamie Kelvington, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2814 Kinknockie Way, Henderson, NV 89044 Phone: 702-415-4186
My Nutrition My Life Llc Dietitian Medicare: Medicare Enrolled Practice Location: 170 S Green Valley Pkwy Fl 3, Henderson, NV 89012 Phone: 702-606-3106 Fax: 702-534-4003
Brittany Fryer, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2850 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052 Phone: 702-485-7235
Serena Hui Jason, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1124 Shady Run Terrace, Henderson, NV 89011 Phone: 702-461-8823
Laura Halper Harris, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2610 W Horizon Ridge Pkwy, 100, Henderson, NV 89052 Phone: 702-434-8222
Sherry Poinier, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2651 Paseo Verde Pkwy Ste 180, Henderson, NV 89074 Phone: 702-616-4934 Fax: 702-616-4977

Angelica Karina Mariscal, RDN - Medicare Dietitian in Henderson, NV