Katlyn Cusack, MS, RDN - Medicare Dietitian in Asbury Park, NJ

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Katlyn Cusack, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Asbury Park, New Jersey. Her current practice location is 1201 Springwood Ave Ste 104, Asbury Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 539-3584.

Katlyn Cusack is licensed to practice in New Jersey (license number 86103286) 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 1104489426.

Contact Information

Katlyn Cusack, MS, RDN
1201 Springwood Ave Ste 104,
Asbury Park, NJ 07712-6796
(732) 539-3584
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKatlyn Cusack
GenderFemale
SpecialityDietitian, Registered
Location1201 Springwood Ave Ste 104, Asbury Park, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104489426
  • Provider Enumeration Date: 04/22/2019
  • Last Update Date: 04/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163852104
  • Enrollment ID: I20200415002153

Medical Identifiers

Medical identifiers for Katlyn Cusack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104489426NPI-NPPES
86103286OtherNJCDR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86103286 (New Jersey)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. Katlyn Cusack allows following entities to bill medicare on her behalf.
Provider NameShore Nutrition Associates
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457825622
PECOS PAC ID: 9234469693
Enrollment ID: O20190927000020

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. Katlyn Cusack 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 AddressPractice Location Address
Katlyn Cusack, MS, RDN
1201 Springwood Ave Ste 104,
Asbury Park, NJ 07712-6796

Ph: () -		Katlyn Cusack, MS, RDN
1201 Springwood Ave Ste 104,
Asbury Park, NJ 07712-6796

Ph: (732) 539-3584

Reviews and Comments


Dietitian, Registered in Asbury Park, NJ

Mr. James R Montgomery Iv, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Springwood Ave, Asbury Park, NJ 07712
Phone: 267-229-9535    
Narissa Medina,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 610 Sewall Ave Apt 10s, Asbury Park, NJ 07712
Phone: 732-796-5490    
Janet Blum,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Main St, Asbury Park, NJ 07712
Phone: 732-774-6333    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.