Ellad Nutrition Consulting, Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Chesterfield, Virginia. Their current practice location is
9401 Courthouse Rd Ste 202, Chesterfield, Virginia. You can reach out to their office (for appointments etc.) via phone at
(804) 616-4378.
Ellad Nutrition Consulting, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ellad Nutrition Consulting, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700123064.
Healthcare Provider's Profile
| Full Name | Ellad Nutrition Consulting, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 9401 Courthouse Rd Ste 202, Chesterfield, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700123064
- Provider Enumeration Date: 01/07/2013
- Last Update Date: 01/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123271236
- Enrollment ID: O20130123000135
Medical Identifiers
Medical identifiers for Ellad Nutrition Consulting, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700123064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| 364S00000X | Clinical Nurse Specialist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ellad Nutrition Consulting, Llc acts as a billing entity for following providers:
| Provider Name | Tyra Lawanda Tanner |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1326340928
PECOS PAC ID: 0749438927
Enrollment ID: I20120912000834 |
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| Provider Name | Tyra Lawanda Tanner |
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| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
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| Provider Identifiers | NPI Number: 1326340928
PECOS PAC ID: 0749438927
Enrollment ID: I20130124000073 |
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| Provider Name | Gerlene Sherard |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1649722505
PECOS PAC ID: 6901176130
Enrollment ID: I20170721000270 |
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| Provider Name | Latonay S. R. Hughes |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1720676356
PECOS PAC ID: 0840688628
Enrollment ID: I20211027002423 |
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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. Ellad Nutrition Consulting, Llc 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 |
|---|
Ellad Nutrition Consulting, Llc
Po Box 2947,
Chesterfield, VA 23832-9118
Ph: (804) 616-4378 | Ellad Nutrition Consulting, Llc
9401 Courthouse Rd Ste 202,
Chesterfield, VA 23832-6687
Ph: (804) 616-4378 |
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