Mrs Meredith Tracy Radisch, MS, RDN, CDN is a medicare enrolled "Dietitian, Registered" provider in Old Bethpage, New York. She graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Sdc Nutrition, Pc and her current practice location is
28 Pickwick Dr, Old Bethpage, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 846-4502.
Mrs Meredith Tracy Radisch is licensed to practice in New York (license number 009624) 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 1881262624.
Healthcare Provider's Profile
| Full Name | Mrs Meredith Tracy Radisch |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 28 Years |
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| Location | 28 Pickwick Dr, Old Bethpage, New York |
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| 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:
- Mrs Meredith Tracy Radisch graduated from medical school in 1998
NPI Data:
- NPI Number: 1881262624
- Provider Enumeration Date: 06/17/2021
- Last Update Date: 07/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 4183027378
- Enrollment ID: I20210726002551
Medical Identifiers
Medical identifiers for Mrs Meredith Tracy Radisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881262624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | 009624 (New York) | Secondary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | 009624 (New York) | Secondary |
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 009624 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | 009624 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sdc Nutrition, Pc | 1557545845 | 4 |
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 Meredith Tracy Radisch allows following entities to bill medicare on her behalf.
| Provider Name | Sdc Nutrition, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265732580 PECOS PAC ID: 1557545845 Enrollment ID: O20110411000850 |
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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 Meredith Tracy Radisch 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 Meredith Tracy Radisch, MS, RDN, CDN 28 Pickwick Dr, Old Bethpage, NY 11804-1737 Ph: (917) 846-4502 | Mrs Meredith Tracy Radisch, MS, RDN, CDN 28 Pickwick Dr, Old Bethpage, NY 11804-1737 Ph: (917) 846-4502 |
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