Mr Jason Caraballo, RD/LDN in Lisle, IL - Medicare Dietitian, Registered Provider

Mr Jason Caraballo, RD/LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Metabolic" provider in Lisle, Illinois. His current practice location is 430 Warrenville Rd Ste 300, Lisle, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 364-7850.

Mr Jason Caraballo is licensed to practice in Illinois (license number 164005934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568893535.

Contact Information

	Mr Jason Caraballo, RD/LDN
	430 Warrenville Rd Ste 300, Lisle, IL 60532-1348
	(630) 364-7850
	(630) 432-6604

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jason Caraballo
Gender	Male
Speciality	Dietitian, Registered - Nutrition, Metabolic
Location	430 Warrenville Rd Ste 300, Lisle, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568893535
Provider Enumeration Date: 12/02/2013
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8022426725
Enrollment ID: I20210419001042

Medical Identifiers

Medical identifiers for Mr Jason Caraballo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568893535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	164005934 (Illinois)	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. Mr Jason Caraballo allows following entities to bill medicare on his behalf.

Provider Name	Dupage Medical Group Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031105000555

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. Mr Jason Caraballo 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
Mr Jason Caraballo, RD/LDN Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Mr Jason Caraballo, RD/LDN 430 Warrenville Rd Ste 300, Lisle, IL 60532-1348 Ph: (630) 364-7850

Reviews and Comments

Dietitian, Registered in Lisle, IL

Jennifer Westerkamp, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Warrenville Rd Ste 210, Lisle, IL 60532 Phone: 312-664-3456 Fax: 312-588-7255
Ms. Melissa M Sheehy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2052 Lundy Ln, Lisle, IL 60532 Phone: 608-359-6048
Mrs. Kelly Wynne Minarick, RD, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 650 Warrenville Rd Ste 100, Lisle, IL 60532 Phone: 847-318-3013 Fax: 833-290-5413
Dupagedietitians Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3080 Ogden Ave, 104, Lisle, IL 60532 Phone: 630-839-9296 Fax: 630-364-1873
Mrs. Deepa Deshmukh, MPH,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3080 Ogden Ave, Lisle, IL 60532 Phone: 630-839-9296
Alisha A Macas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Warrenville Rd Ste 100, Lisle, IL 60532 Phone: 847-318-3013 Fax: 833-290-5413
Emma Cone, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Warrenville Rd Ste 210, Lisle, IL 60532 Phone: 312-664-3456

Mr Jason Caraballo, RD/LDN - Medicare Dietitian in Lisle, IL