Poornima Samandur, in West Bloomfield, MI - Medicare Dietitian, Registered Provider

Poornima Samandur, is a medicare enrolled "Dietitian, Registered" provider in West Bloomfield, Michigan. Her current practice location is 1957 Midchester Dr, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 682-9220.

Poornima Samandur is licensed to practice in Michigan (license number 847864) 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 1578097291.

Contact Information

	Poornima Samandur,
	1957 Midchester Dr, West Bloomfield, MI 48324-1164
	(248) 682-9220
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Poornima Samandur
Gender	Female
Speciality	Dietitian, Registered
Location	1957 Midchester Dr, West Bloomfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578097291
Provider Enumeration Date: 04/19/2017
Last Update Date: 09/18/2017

Medicare PECOS Information:

PECOS PAC ID: 2264707751
Enrollment ID: I20171010000982

Medical Identifiers

Medical identifiers for Poornima Samandur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578097291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	847864 (Michigan)	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. Poornima Samandur allows following entities to bill medicare on her behalf.

Provider Name	Sparr Nutrition Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902325293 PECOS PAC ID: 4385919877 Enrollment ID: O20171010000832

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. Poornima Samandur 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
Poornima Samandur, 1957 Midchester Dr, West Bloomfield, MI 48324-1164 Ph: (248) 682-9220	Poornima Samandur, 1957 Midchester Dr, West Bloomfield, MI 48324-1164 Ph: (248) 682-9220

Reviews and Comments

Dietitian, Registered in West Bloomfield, MI

Ms. Quanta Dawn Duncan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3644 Hutchins Hill Dr, West Bloomfield, MI 48323 Phone: 734-417-9688
Mrs. Gail Fredrick Posner, R.D., M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6960 Orchard Lake Rd, #310, West Bloomfield, MI 48322 Phone: 248-855-4558 Fax: 248-855-0099
Julie Yashinsky Feldman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5600 W Maple Rd Ste D404, West Bloomfield, MI 48322 Phone: 248-464-0076
Mrs. Loriann Martha Eno, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1619 Cardinal Rdg, West Bloomfield, MI 48324 Phone: 248-496-2000 Fax: 248-539-0963
Karmen Halabu, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5532 Wildridge Lane, West Bloomfield, MI 48322 Phone: 248-396-9030
Monica Wren Babcock, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6933 Kirkbridge Hl, West Bloomfield, MI 48322 Phone: 248-860-4853
Lisa Lauren Wittenberg, RDN, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3631 Bayou Dr, West Bloomfield, MI 48323 Phone: 248-214-4396 Fax: 248-353-1023

Poornima Samandur, - Medicare Dietitian in West Bloomfield, MI