Mrs Kara (rae) Rae Boswell, MS, RD, LD in Southlake, TX - Medicare Dietitian, Registered Provider

Mrs Kara (rae) Rae Boswell, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Southlake, Texas. Her current practice location is 630 N Kimball Ave Ste 110, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 422-9180.

Mrs Kara (rae) Rae Boswell is licensed to practice in Texas (license number DT85489) 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 1245510247.

Contact Information

	Mrs Kara (rae) Rae Boswell, MS, RD, LD
	630 N Kimball Ave Ste 110, Southlake, TX 76092-6887
	(972) 422-9180
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kara (rae) Rae Boswell
Gender	Female
Speciality	Dietitian, Registered
Location	630 N Kimball Ave Ste 110, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245510247
Provider Enumeration Date: 08/22/2011
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9133574064
Enrollment ID: I20231012003988

Medical Identifiers

Medical identifiers for Mrs Kara (rae) Rae Boswell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245510247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT85489 (Texas)	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 Kara (rae) Rae Boswell allows following entities to bill medicare on her behalf.

Provider Name	Nutriphasics, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982917126 PECOS PAC ID: 5991064487 Enrollment ID: O20180108002080

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 Kara (rae) Rae Boswell 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 Kara (rae) Rae Boswell, MS, RD, LD 400 Chisholm Pl, Plano, TX 75075-6938 Ph: (972) 422-9180	Mrs Kara (rae) Rae Boswell, MS, RD, LD 630 N Kimball Ave Ste 110, Southlake, TX 76092-6887 Ph: (972) 422-9180

Reviews and Comments

Dietitian, Registered in Southlake, TX

Jessica Julstedt Coffee, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1209 Timber Ct, Southlake, TX 76092 Phone: 817-366-4643
Bryan Johnson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 771 E Southlake Blvd Ste 106, Southlake, TX 76092 Phone: 469-372-2022 Fax: 833-290-5413
Janice May, RDN, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1047 Summerplace Ln, Southlake, TX 76092 Phone: 817-905-7722
Mary Wilson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 620 E Southlake Blvd, Southlake, TX 76092 Phone: 214-623-6270
Anne-marie Alford, RD Dietitian Medicare: Medicare Enrolled Practice Location: 771 E Southlake Blvd Ste 106, Southlake, TX 76092 Phone: 469-372-2022 Fax: 833-290-5413
Dana Dodge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Osprey Ct, Southlake, TX 76092 Phone: 925-548-5440

Mrs Kara (rae) Rae Boswell, MS, RD, LD - Medicare Dietitian in Southlake, TX