Michele Phulsuksombati, MS, MED,RD in Frederick, MD - Medicare Dietitian, Registered Provider

Michele Phulsuksombati, MS, MED,RD is a medicare enrolled "Dietitian, Registered" provider in Frederick, Maryland. Her current practice location is 8200 Blue Heron Dr, 2d, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 788-5392.

Michele Phulsuksombati is licensed to practice in Maryland (license number DX3822) 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 1386014819.

Contact Information

	Michele Phulsuksombati, MS, MED,RD
	8200 Blue Heron Dr, 2d, Frederick, MD 21701-9358
	(301) 788-5392
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michele Phulsuksombati
Gender	Female
Speciality	Dietitian, Registered
Location	8200 Blue Heron Dr, Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386014819
Provider Enumeration Date: 09/26/2015
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9133466832
Enrollment ID: I20190201001977

Medical Identifiers

Medical identifiers for Michele Phulsuksombati such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386014819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DX3822 (Maryland)	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. Michele Phulsuksombati allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Michele Phulsuksombati 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
Michele Phulsuksombati, MS, MED,RD 8200 Blue Heron Dr, 2d, Frederick, MD 21701-9358 Ph: (301) 788-5392	Michele Phulsuksombati, MS, MED,RD 8200 Blue Heron Dr, 2d, Frederick, MD 21701-9358 Ph: (301) 788-5392

Reviews and Comments

Dietitian, Registered in Frederick, MD

Frederick Health Medical Group Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 240-215-6310
Ashley Reaver Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 331 Lindbergh Ave, Frederick, MD 21701 Phone: 240-674-0948
Frederick Primary Care Associates, P.a. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 Phone: 240-913-5950
Katherine N Fields, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct, Suite 240, Frederick, MD 21703 Phone: 240-215-1454 Fax: 240-215-1430
Dawn Croft, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4012 Brushfield Cir, Frederick, MD 21704 Phone: 443-676-9014
Maryland Nutrition And Diet Services, L.l.c. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 W. 7th Street, No. 1607, Frederick, MD 21702 Phone: 240-344-8003
Frederick Primary Care Associates, P.a. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 56 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3111

Michele Phulsuksombati, MS, MED,RD - Medicare Dietitian in Frederick, MD