Kallie Marie Siderewicz, RDN in Tucson, AZ - Medicare Dietitian, Registered Provider

Kallie Marie Siderewicz, RDN is a medicare enrolled "Dietitian, Registered" provider in Tucson, Arizona. Her current practice location is 5301 E Grant Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 730-1582.

Kallie Marie Siderewicz is licensed to practice in Arizona (license number 86009790) 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 1073056545.

Contact Information

	Kallie Marie Siderewicz, RDN
	5301 E Grant Rd, Tucson, AZ 85712-2805
	(520) 730-1582
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kallie Marie Siderewicz
Gender	Female
Speciality	Dietitian, Registered
Location	5301 E Grant Rd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073056545
Provider Enumeration Date: 11/30/2016
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6103103692
Enrollment ID: I20170510002761

Medical Identifiers

Medical identifiers for Kallie Marie Siderewicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073056545	NPI	-	NPPES
86009790	Other	AZ	RDN CERTIFICATE
220882	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86009790 (Arizona)	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. Kallie Marie Siderewicz allows following entities to bill medicare on her behalf.

Provider Name	Tmc Medical Network
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

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. Kallie Marie Siderewicz 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
Kallie Marie Siderewicz, RDN Po Box 31235, Tucson, AZ 85751-1235 Ph: (520) 324-4100	Kallie Marie Siderewicz, RDN 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 730-1582

Reviews and Comments

Dietitian, Registered in Tucson, AZ

Sarah Duke, R.D.N. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1001 W Camino Desierto, Tucson, AZ 85704 Phone: 520-907-9587
Ghaidaa Kobeissi, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10350 E Drexel Rd Unit 110, Tucson, AZ 85747 Phone: 520-324-1727 Fax: 520-324-1700
Mrs. Emily Susan Mason, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2806 N. Alvernon Way, #500, Tucson, AZ 85712 Phone: 520-730-3094 Fax: 520-428-5812
Bree Ann Thompson, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Southern Az Va Health Care System, Tucson, AZ 85723 Phone: 520-792-1450
Anju Patel, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5651 N Paseo Niquel, Tucson, AZ 85718 Phone: 520-990-4112
Ms. Dawn A Elvick, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450
Monica Lopez, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7900 S J Stock Rd, Tucson, AZ 85746 Phone: 520-295-2503 Fax: 520-295-2676

Kallie Marie Siderewicz, RDN - Medicare Dietitian in Tucson, AZ