Carly Sedlacek, in Lakewood, OH - Medicare Dietitian, Registered Provider

Carly Sedlacek, is a medicare enrolled "Dietitian, Registered" provider in Lakewood, Ohio. Her current practice location is 2163 Woodward Ave, Lakewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 444-3046.

Carly Sedlacek is licensed to practice in Ohio (license number LD.09890) 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 1659095339.

Contact Information

	Carly Sedlacek,
	2163 Woodward Ave, Lakewood, OH 44107-5732
	(216) 444-3046
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Sedlacek
Gender	Female
Speciality	Dietitian, Registered
Location	2163 Woodward Ave, Lakewood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659095339
Provider Enumeration Date: 09/27/2022
Last Update Date: 07/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3173991148
Enrollment ID: I20221122002849

Medical Identifiers

Medical identifiers for Carly Sedlacek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659095339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD.09890 (Ohio)	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. Carly Sedlacek allows following entities to bill medicare on her behalf.

Provider Name	The Cleveland Clinic Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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. Carly Sedlacek 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
Carly Sedlacek, 125 Hunt Club Dr Apt 2c, Copley, OH 44321-2703 Ph: () -	Carly Sedlacek, 2163 Woodward Ave, Lakewood, OH 44107-5732 Ph: (216) 444-3046

Reviews and Comments

Dietitian, Registered in Lakewood, OH

Jessica Schreiner, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-529-7923
Sarah Carpenter, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2023 Atkins Ave, Lakewood, OH 44107 Phone: 330-635-9936
Romina T Yee, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200
Samantha Kavander, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1662 Victoria Ave, Lakewood, OH 44107 Phone: 440-465-2157
Jessica Marie Jurcak, MS, MPH, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17317 Madison Ave Apt 21, Lakewood, OH 44107 Phone: 440-865-1266
Krista Cowgill, MS, RD, LD, IFNCP Dietitian Medicare: Medicare Enrolled Practice Location: 2044 Warren Rd, Lakewood, OH 44107 Phone: 805-403-9354

Carly Sedlacek, - Medicare Dietitian in Lakewood, OH