Carolyn Allen, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Manlius, New York. Her current practice location is
4500 Pewter Ln Bldg 8&9, Manlius, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 683-4263.
Carolyn Allen is licensed to practice in New York (license number 008357) 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 1356864771.
Healthcare Provider's Profile
Full Name | Carolyn Allen |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4500 Pewter Ln Bldg 8&9, Manlius, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356864771
- Provider Enumeration Date: 07/18/2017
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608284211
- Enrollment ID: I20210421000182
Medical Identifiers
Medical identifiers for Carolyn Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356864771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 008357 (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. Carolyn Allen allows following entities to bill medicare on her behalf.
Provider Name | Rural Roots Nutrition Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1285143651 PECOS PAC ID: 2466810791 Enrollment ID: O20230620000751 |
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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. Carolyn Allen 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 |
Carolyn Allen, RD, CDN 1672 Pompey Center Rd, Fabius, NY 13063-8703 Ph: () - | Carolyn Allen, RD, CDN 4500 Pewter Ln Bldg 8&9, Manlius, NY 13104-9707 Ph: (315) 683-4263 |
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