Mary Jane Condell, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Ravenel, South Carolina. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Nourish, Inc. and her current practice location is
219 Summer Tanager Dr, Ravenel, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(804) 239-2811.
Mary Jane Condell is licensed to practice in South Carolina (license number LD1557) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265202543.
Healthcare Provider's Profile
| Full Name | Mary Jane Condell |
|---|
| Gender | Female |
|---|
| Speciality | Registered Dietitian Or Nutrition Professional |
|---|
| Experience | 19 Years |
|---|
| Location | 219 Summer Tanager Dr, Ravenel, South Carolina |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mary Jane Condell graduated from medical school in 2007
NPI Data:
- NPI Number: 1265202543
- Provider Enumeration Date: 01/08/2024
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567805138
- Enrollment ID: I20240210000578
Medical Identifiers
Medical identifiers for Mary Jane Condell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265202543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD1557 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nourish, Inc. | 1557724937 | 288 |
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. Mary Jane Condell allows following entities to bill medicare on her behalf.
| Provider Name | Nourish, Inc. |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1558097824
PECOS PAC ID: 1557724937
Enrollment ID: O20230901000471 |
|---|
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. Mary Jane Condell 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 |
|---|
Mary Jane Condell, RD, LD
219 Summer Tanager Dr,
Ravenel, SC 29470-9672
Ph: (804) 239-2811 | Mary Jane Condell, RD, LD
219 Summer Tanager Dr,
Ravenel, SC 29470-9672
Ph: (804) 239-2811 |
Reviews and Comments