Dr Ellen Girdlestone, PHD, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Pleasant Valley, New York. Her current practice location is
1979 Route 44, Pleasant Valley, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 635-1607.
Dr Ellen Girdlestone is licensed to practice in New York (license number 001573-1) 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 1629094321.
Healthcare Provider's Profile
| Full Name | Dr Ellen Girdlestone |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1979 Route 44, Pleasant Valley, 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. |
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NPI Data:
- NPI Number: 1629094321
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597285189
- Enrollment ID: I20250226001959
Medical Identifiers
Medical identifiers for Dr Ellen Girdlestone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629094321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 001573-1 (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. Dr Ellen Girdlestone allows following entities to bill medicare on her behalf.
| Provider Name | Damian Family Care Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508955592
PECOS PAC ID: 6507849882
Enrollment ID: O20151015001737 |
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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. Dr Ellen Girdlestone 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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Dr Ellen Girdlestone, PHD, RD, CDN
1979 Route 44,
Pleasant Valley, NY 12569-7310
Ph: (845) 635-1607 | Dr Ellen Girdlestone, PHD, RD, CDN
1979 Route 44,
Pleasant Valley, NY 12569-7310
Ph: (845) 635-1607 |
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