Rena Oudan, is a medicare enrolled "Dietitian, Registered" provider in East Boston, Massachusetts. Her current practice location is
10 Gove St, East Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 569-5800.
Rena Oudan is licensed to practice in Massachusetts (license number 2769) 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 1952689093.
Healthcare Provider's Profile
| Full Name | Rena Oudan |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 10 Gove St, East Boston, Massachusetts |
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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: 1952689093
- Provider Enumeration Date: 07/22/2011
- Last Update Date: 01/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 0840461505
- Enrollment ID: I20110929000275
Medical Identifiers
Medical identifiers for Rena Oudan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952689093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 2769 (Massachusetts) | 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. Rena Oudan allows following entities to bill medicare on her behalf.
| Provider Name | Internal Medical Associates-ebnhc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
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| Provider Name | East Boston Neighborhood Health Center Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
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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. Rena Oudan 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 |
Rena Oudan, 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Rena Oudan, 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
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