Kristie Moore Tovar, MS, RDN in Glendale, CA - Medicare Dietitian, Registered Provider

Kristie Moore Tovar, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Glendale, California. Her current practice location is 715 N Central Ave, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (818) 731-5352.

Kristie Moore Tovar is licensed to practice in California (license number 86012873) 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 1801248612.

Contact Information

	Kristie Moore Tovar, MS, RDN
	715 N Central Ave, Glendale, CA 91203-4262
	(818) 731-5352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristie Moore Tovar
Gender	Female
Speciality	Dietitian, Registered
Location	715 N Central Ave, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801248612
Provider Enumeration Date: 07/05/2016
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6204365471
Enrollment ID: I20250203001094

Medical Identifiers

Medical identifiers for Kristie Moore Tovar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801248612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86012873 (California)	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. Kristie Moore Tovar allows following entities to bill medicare on her behalf.

Provider Name	Kristie Tovar Nutrition & Wellness, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255949616 PECOS PAC ID: 4486183654 Enrollment ID: O20250203000996

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. Kristie Moore Tovar 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
Kristie Moore Tovar, MS, RDN 27284 Via Marcia, Santa Clarita, CA 91350-1539 Ph: (818) 731-5352	Kristie Moore Tovar, MS, RDN 715 N Central Ave, Glendale, CA 91203-4262 Ph: (818) 731-5352

Reviews and Comments

Dietitian, Registered in Glendale, CA

Mrs. Mary-jeanne Der Avedissian, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 626 Myrtle St, Glendale, CA 91203 Phone: 818-240-4328
Naira Gavurmadzhyan, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1316 Truitt St, Glendale, CA 91201 Phone: 818-321-6601
Deborah Woody, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1545 Ard Eevin Ave, Glendale, CA 91202 Phone: 818-294-4371
Karnie Babikian, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1748 Hillcrest Ave, Glendale, CA 91202 Phone: 818-309-7666
Katie Lebleu, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1207 N Howard St, Glendale, CA 91207 Phone: 818-395-3033
Tallin Tounian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000
Nadia Bedrosian, M.S., RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 528 Alexander St, Glendale, CA 91203 Phone: 818-306-7054

Kristie Moore Tovar, MS, RDN - Medicare Dietitian in Glendale, CA