Anya Dissen, RDN, LD in South Portland, ME - Medicare Dietitian, Registered Provider

Anya Dissen, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in South Portland, Maine. Her current practice location is 41 Donald B Dean Dr Ste A, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 661-6064.

Anya Dissen is licensed to practice in Maine (license number DI1621) 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 1558071639.

Contact Information

	Anya Dissen, RDN, LD
	41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252
	(207) 661-6064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anya Dissen
Gender	Female
Speciality	Dietitian, Registered
Location	41 Donald B Dean Dr Ste A, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558071639
Provider Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 8921478306
Enrollment ID: I20221229000540

Medical Identifiers

Medical identifiers for Anya Dissen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558071639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI1621 (Maine)	Primary

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. Anya Dissen allows following entities to bill medicare on her behalf.

Provider Name	Mainehealth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Anya Dissen 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
Anya Dissen, RDN, LD 240 Harvard St Apt 607, Portland, ME 04103-3536 Ph: (410) 310-7343	Anya Dissen, RDN, LD 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252 Ph: (207) 661-6064

Reviews and Comments

Dietitian, Registered in South Portland, ME

Kelly Doris O'connell, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 41 Donald B Dean Dr, South Portland, ME 04106 Phone: 207-661-6064
Integral Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 59 Baltimore Avenue, South Portland, ME 04106 Phone: 207-558-3433
Erin E. Miller, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 41 Donald B Dean Dr Ste A, South Portland, ME 04106 Phone: 207-661-6064 Fax: 207-253-6073
Ms. Susan Ellen Cadigan, RD Dietitian Medicare: Medicare Enrolled Practice Location: 41 Donald B Dean Dr Ste A, South Portland, ME 04106 Phone: 207-661-6064
Madeline Howard, M.S., R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 59 Baltimore Ave, South Portland, ME 04106 Phone: 207-536-4907
Moira Burke, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Brickhill Ave, South Portland, ME 04106 Phone: 207-773-1728
Ms. Cynthia R Rubinoff-myers, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Gerry Ave, South Portland, ME 04106 Phone: 207-828-1618 Fax: 207-828-1618

Anya Dissen, RDN, LD - Medicare Dietitian in South Portland, ME