Brooke Ann Marie Decelles, MS, RD, CDN - Medicare Dietitian in Potsdam, NY

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Brooke Ann Marie Decelles, MS, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Potsdam, New York. Her current practice location is 200 Market Street, Ste 5 Pmb 112, Potsdam, New York. You can reach out to her office (for appointments etc.) via phone at (315) 528-4711.

Brooke Ann Marie Decelles is licensed to practice in New York (license number 010313-01) 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 1770171191.

Contact Information

Brooke Ann Marie Decelles, MS, RD, CDN
200 Market Street, Ste 5 Pmb 112,
Potsdam, NY 13676-1217
(315) 528-4711
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrooke Ann Marie Decelles
GenderFemale
SpecialityDietitian, Registered
Location200 Market Street, Potsdam, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770171191
  • Provider Enumeration Date: 01/03/2021
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072045954
  • Enrollment ID: I20241017003079

Medical Identifiers

Medical identifiers for Brooke Ann Marie Decelles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770171191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 01031301 (New York)Secondary
133V00000XDietitian, Registered DN007980 (Pennsylvania)Secondary
133V00000XDietitian, Registered 010313-01 (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. Brooke Ann Marie Decelles allows following entities to bill medicare on her behalf.
Provider NameNourished Life Nutrition Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1891386371
PECOS PAC ID: 1254863137
Enrollment ID: O20241017002712

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. Brooke Ann Marie Decelles 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 AddressPractice Location Address
Brooke Ann Marie Decelles, MS, RD, CDN
200 Market Street, Ste 5 Pmb 112,
Potsdam, NY 13676-1217

Ph: (315) 528-4711		Brooke Ann Marie Decelles, MS, RD, CDN
200 Market Street, Ste 5 Pmb 112,
Potsdam, NY 13676-1217

Ph: (315) 528-4711

Reviews and Comments


Dietitian, Registered in Potsdam, NY

Lauren Elizabeth Smith, RD, CLC
Dietitian
Medicare: Not Enrolled in Medicare
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Phone: 315-244-8917    
Linda Helene Buchanan, R,D,
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Practice Location: 649 Bagdad Rd, Potsdam, NY 13676
Phone: 315-268-9139    Fax: 315-268-1363
Sarah Berube, RD
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Practice Location: 416 River Rd, Potsdam, NY 13676
Phone: 315-541-2291    
Alexandria Fons, RDN, CD
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Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 414-519-4559    
Carmelinda Clark-bouchard, RD
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Practice Location: 64 Waverly St, Potsdam, NY 13676
Phone: 315-212-6989    
Margaret Maguire, R.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 7775 Us Highway 11, Potsdam, NY 13676
Phone: 315-212-2570    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.