Ellen Corinne Deorbegozo, RDN in Little Rock, AR - Medicare Dietitian, Registered Provider

Ellen Corinne Deorbegozo, RDN is a medicare enrolled "Dietitian, Registered" provider in Little Rock, Arkansas. Her current practice location is 10915 N Rodney Parham Rd Ste G, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 202-4294.

Ellen Corinne Deorbegozo is licensed to practice in Arkansas (license number 86173908) 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 1326644683.

Contact Information

	Ellen Corinne Deorbegozo, RDN
	10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212-4114
	(501) 202-4294
	(501) 202-4299

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Corinne Deorbegozo
Gender	Female
Speciality	Dietitian, Registered
Location	10915 N Rodney Parham Rd Ste G, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326644683
Provider Enumeration Date: 12/10/2020
Last Update Date: 04/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6406261312
Enrollment ID: I20221024001512

Medical Identifiers

Medical identifiers for Ellen Corinne Deorbegozo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326644683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86173908 (Arkansas)	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. Ellen Corinne Deorbegozo allows following entities to bill medicare on her behalf.

Provider Name	American Health Assessments, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20120425000323

Provider Name	Zipongo Health Provider Group P.a.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972146694 PECOS PAC ID: 0547666448 Enrollment ID: O20211110002124

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. Ellen Corinne Deorbegozo 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
Ellen Corinne Deorbegozo, RDN 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 812-7215	Ellen Corinne Deorbegozo, RDN 10915 N Rodney Parham Rd Ste G, Little Rock, AR 72212-4114 Ph: (501) 202-4294

Reviews and Comments

Dietitian, Registered in Little Rock, AR

Central Arkansas Radiation Therapy Institute Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000
April M Hobbs, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, Slot 574-01, Little Rock, AR 72205 Phone: 501-686-5788
Ms. Alexandria Bridges, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000
Ms. Ambrazia Sublett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4710 Sam Peck Rd # 1-2004, Little Rock, AR 72223 Phone: 615-674-0336
Cathryn Rene Woods, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, 120/lr, Little Rock, AR 72205 Phone: 502-257-6760
Mrs. Courtney Byrum, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4 Shackleford Plz Ste 209, Little Rock, AR 72211 Phone: 501-779-8327 Fax: 501-500-5750
Eric James Siebenmorgen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1701 S Shackleford Rd, Little Rock, AR 72211 Phone: 501-219-7000

Ellen Corinne Deorbegozo, RDN - Medicare Dietitian in Little Rock, AR