Jenna Lodebole, RDN in Stamford, CT - Medicare Dietitian, Registered Provider

Jenna Lodebole, RDN is a medicare enrolled "Dietitian, Registered" provider in Stamford, Connecticut. Her current practice location is 292 Long Ridge Rd Ste 206, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 276-7213.

Jenna Lodebole is licensed to practice in * (Not Available) (license number ) 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 1730797903.

Contact Information

	Jenna Lodebole, RDN
	292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627
	(203) 276-7213
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Lodebole
Gender	Female
Speciality	Dietitian, Registered
Location	292 Long Ridge Rd Ste 206, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730797903
Provider Enumeration Date: 07/14/2020
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4486097896
Enrollment ID: I20240213000609

Medical Identifiers

Medical identifiers for Jenna Lodebole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730797903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenna Lodebole allows following entities to bill medicare on her behalf.

Provider Name	Stamford Health Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154633980 PECOS PAC ID: 6901099746 Enrollment ID: O20101025000743

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. Jenna Lodebole 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
Jenna Lodebole, RDN 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 Ph: (203) 276-7213	Jenna Lodebole, RDN 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 Ph: (203) 276-7213

Reviews and Comments

Dietitian, Registered in Stamford, CT

Valerie Michelle Becker, MS, RDN, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 119 Towne St Apt 110, Stamford, CT 06902 Phone: 973-714-2058
Gwendolin Learey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 59 Harbor St, Stamford, CT 06902 Phone: 845-274-7068
Indigo Wellness Group Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 144 Morgan St Ste 1, Stamford, CT 06905 Phone: 203-658-7850
Jane Wynne, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 680 E Main St Ste A883, Stamford, CT 06901 Phone: 203-978-3558
Alexandra Pereira, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 666 Glenbrook Rd Ste 1c, Stamford, CT 06906 Phone: 203-885-4368
Denise E Groothuis, Dietitian Medicare: Medicare Enrolled Practice Location: 141 Franklin St, Stamford, CT 06901 Phone: 203-969-0802
Lillian Talal, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 249 June Rd, Stamford, CT 06903 Phone: 844-727-6670

Jenna Lodebole, RDN - Medicare Dietitian in Stamford, CT