Brianna Marie Wallenhorst, MD, RD is a medicare enrolled "Dietitian, Registered" provider in Depew, New York. Her current practice location is
244 Wayside Dr, Depew, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 803-5770.
Brianna Marie Wallenhorst is licensed to practice in New York (license number 86098649) 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 1538632971.
Healthcare Provider's Profile
Full Name | Brianna Marie Wallenhorst |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 244 Wayside Dr, Depew, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538632971
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 03/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709308463
- Enrollment ID: I20250321003121
Medical Identifiers
Medical identifiers for Brianna Marie Wallenhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538632971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86098649 (New York) | 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. Brianna Marie Wallenhorst allows following entities to bill medicare on her behalf.
Provider Name | Sarah Lynn Nutrition Pllc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1730851346 PECOS PAC ID: 3072045947 Enrollment ID: O20241016003072 |
---|
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. Brianna Marie Wallenhorst 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 |
Brianna Marie Wallenhorst, MD, RD 98 Ridgewood Rd, Buffalo, NY 14220-2224 Ph: () - | Brianna Marie Wallenhorst, MD, RD 244 Wayside Dr, Depew, NY 14043-1722 Ph: (716) 803-5770 |
Reviews and Comments