Kelly Danielle Tahlor, RDN, CDN - Medicare Dietitian in Centereach, NY

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Kelly Danielle Tahlor, RDN, CDN is a medicare enrolled "Dietitian, Registered" provider in Centereach, New York. Her current practice location is 23 S Howell Ave Ste D, Centereach, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-2274.

Kelly Danielle Tahlor is licensed to practice in New York (license number 011259) 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 1275231433.

Contact Information

Kelly Danielle Tahlor, RDN, CDN
23 S Howell Ave Ste D,
Centereach, NY 11720-4445
(631) 444-2274
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Danielle Tahlor
GenderFemale
SpecialityDietitian, Registered
Location23 S Howell Ave Ste D, Centereach, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275231433
  • Provider Enumeration Date: 02/17/2023
  • Last Update Date: 02/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769856004
  • Enrollment ID: I20230328001131

Medical Identifiers

Medical identifiers for Kelly Danielle Tahlor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275231433NPI-NPPES
011259OtherNYDIETETICS-NUTRITION (048)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 011259 (New York)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. Kelly Danielle Tahlor allows following entities to bill medicare on her behalf.
Provider NameStony Brook Surgical Associates University Faculty Practice Corporati
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1063468536
PECOS PAC ID: 0345143749
Enrollment ID: O20040202000318

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. Kelly Danielle Tahlor 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
Kelly Danielle Tahlor, RDN, CDN
23 S Howell Ave Ste D,
Centereach, NY 11720-4445

Ph: (631) 444-2274		Kelly Danielle Tahlor, RDN, CDN
23 S Howell Ave Ste D,
Centereach, NY 11720-4445

Ph: (631) 444-2274

Reviews and Comments


Dietitian, Registered in Centereach, NY

Ms. Linda Altenburger, RD, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 41 Fran Ln, Centereach, NY 11720
Phone: 631-698-9548    
Mrs. Carly Helene Vera, RD, CDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 43 Sunset Drive, Centereach, NY 11720
Phone: 631-940-8056    
Mrs. Barbara Jean Broggelwirth, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 70 W Court Dr, Centereach, NY 11720
Phone: 631-371-9101    
Mrs. Megan Pinamonti, RD, LDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 23 S Howell Ave, Suite D, Centereach, NY 11720
Phone: 631-638-2027    
Marianna Dayre, RD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 23 S Howell Ave Ste D, Centereach, NY 11720
Phone: 631-638-3968    Fax: 631-638-1227

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.