Christina Bedetta Willett, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Riverside, Rhode Island. Her current practice location is
505 Wild Goose Rd Apt 202, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 578-4091.
Christina Bedetta Willett is licensed to practice in Rhode Island (license number LDN00971) 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 1366910374.
Healthcare Provider's Profile
| Full Name | Christina Bedetta Willett |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 505 Wild Goose Rd Apt 202, Riverside, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366910374
- Provider Enumeration Date: 11/07/2018
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759626401
- Enrollment ID: I20181227001363
Medical Identifiers
Medical identifiers for Christina Bedetta Willett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366910374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LDN00971 (Rhode Island) | 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. Christina Bedetta Willett allows following entities to bill medicare on her behalf.
| Provider Name | Evolution Nutrition Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336265800
PECOS PAC ID: 2163668518
Enrollment ID: O20130410000052 |
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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. Christina Bedetta Willett 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 |
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Christina Bedetta Willett, RD, LDN
505 Wild Goose Rd Apt 202,
Riverside, RI 02915-2682
Ph: (401) 578-4091 | Christina Bedetta Willett, RD, LDN
505 Wild Goose Rd Apt 202,
Riverside, RI 02915-2682
Ph: (401) 578-4091 |
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