Mrs Juanita M Bryant, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Ghent, New York. Her current practice location is
2 Sherman Potts Drive, Ghent, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 929-0915.
Mrs Juanita M Bryant is licensed to practice in * (Not Available) (license number ) 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 1356597058.
Healthcare Provider's Profile
| Full Name | Mrs Juanita M Bryant |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2 Sherman Potts Drive, Ghent, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356597058
- Provider Enumeration Date: 08/13/2008
- Last Update Date: 02/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 9032433735
- Enrollment ID: I20150129001777
Medical Identifiers
Medical identifiers for Mrs Juanita M Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356597058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Mrs Juanita M Bryant allows following entities to bill medicare on her behalf.
| Provider Name | Bryant Nutrition Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790118420 PECOS PAC ID: 8123342821 Enrollment ID: O20150129001626 |
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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. Mrs Juanita M Bryant 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 |
Mrs Juanita M Bryant, RD, CDN 6 Hamm Rd, Hudson, NY 12534-4617 Ph: (518) 929-0915 | Mrs Juanita M Bryant, RD, CDN 2 Sherman Potts Drive, Ghent, NY 12075 Ph: (518) 929-0915 |
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