Madeline Rene Glazos, RDN, LD in St Louis Park, MN - Medicare Dietitian, Registered Provider

Madeline Rene Glazos, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in St Louis Park, Minnesota. Her current practice location is 5354 Parkdale Dr, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 267-0585.

Madeline Rene Glazos is licensed to practice in Minnesota (license number 4018) 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 1316410624.

Contact Information

	Madeline Rene Glazos, RDN, LD
	5354 Parkdale Dr, St Louis Park, MN 55416-1603
	(320) 267-0585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madeline Rene Glazos
Gender	Female
Speciality	Dietitian, Registered
Location	5354 Parkdale Dr, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316410624
Provider Enumeration Date: 01/09/2019
Last Update Date: 01/09/2019

Medicare PECOS Information:

PECOS PAC ID: 9032457296
Enrollment ID: I20190213001404

Medical Identifiers

Medical identifiers for Madeline Rene Glazos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316410624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	4018 (Minnesota)	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. Madeline Rene Glazos allows following entities to bill medicare on her behalf.

Provider Name	Emily Program P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014

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. Madeline Rene Glazos 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
Madeline Rene Glazos, RDN, LD 172 6th St E Apt 1107, Saint Paul, MN 55101-1976 Ph: (320) 267-0585	Madeline Rene Glazos, RDN, LD 5354 Parkdale Dr, St Louis Park, MN 55416-1603 Ph: (320) 267-0585

Reviews and Comments

Dietitian, Registered in St Louis Park, MN

Arlene M Monk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666
Diane M Reader, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-7169 Fax: 952-993-0300
Britta L Mattison, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3435
Andrea L Miller, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3200 Inglewood Ave S Apt 132, St Louis Park, MN 55416 Phone: 206-619-7366
Jacquelyn Warner, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3525 Monterey Dr, St Louis Park, MN 55416 Phone: 952-993-6200
Colleen Fischer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393
Lindsey Smith, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393

Madeline Rene Glazos, RDN, LD - Medicare Dietitian in St Louis Park, MN