Mrs Kristen Bronde Farrelly, RD, CDN in Babylon, NY - Medicare Dietitian, Registered Provider

Mrs Kristen Bronde Farrelly, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Babylon, New York. Her current practice location is 655 Deer Park Ave, Babylon, New York. You can reach out to her office (for appointments etc.) via phone at (631) 321-2100.

Mrs Kristen Bronde Farrelly is licensed to practice in New York (license number 009582) 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 1417427600.

Contact Information

	Mrs Kristen Bronde Farrelly, RD, CDN
	655 Deer Park Ave, Babylon, NY 11702-1314
	(631) 321-2100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristen Bronde Farrelly
Gender	Female
Speciality	Dietitian, Registered
Location	655 Deer Park Ave, Babylon, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417427600
Provider Enumeration Date: 11/29/2018
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9739540634
Enrollment ID: I20230725001507

Medical Identifiers

Medical identifiers for Mrs Kristen Bronde Farrelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417427600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	009582 (New York)	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 Kristen Bronde Farrelly allows following entities to bill medicare on her behalf.

Provider Name	Samaritan Pediatric Services Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730308925 PECOS PAC ID: 7618151887 Enrollment ID: O20110413000020

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 Kristen Bronde Farrelly 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 Kristen Bronde Farrelly, RD, CDN 7 Sequams Ln W, West Islip, NY 11795-4524 Ph: (631) 813-8560	Mrs Kristen Bronde Farrelly, RD, CDN 655 Deer Park Ave, Babylon, NY 11702-1314 Ph: (631) 321-2100

Reviews and Comments

Dietitian, Registered in Babylon, NY

Ms. Lisa Ann Moore, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Park Ave, Babylon, NY 11702 Phone: 646-468-9821
Amanda Jacqueline Reichardt, MS RDN CDN CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-205-3375
Miss Caitlin Justine Alfano, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-321-1900
Christina Diana, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 421 Deer Park Ave, Babylon, NY 11702 Phone: 631-941-1028 Fax: 631-941-1010
Alicia Lauren Wright, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-204-3375
Elevation Fitness Dietitian Medicare: Medicare Enrolled Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-335-8578

Mrs Kristen Bronde Farrelly, RD, CDN - Medicare Dietitian in Babylon, NY