Shelby Yaceczko, RDN in Long Beach, CA - Medicare Dietitian, Registered Provider

Shelby Yaceczko, RDN is a medicare enrolled "Dietitian, Registered" provider in Long Beach, California. Her current practice location is 350 Wisconsin Ave Apt 1, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (330) 815-8000.

Shelby Yaceczko is licensed to practice in * (Not Available) (license number ) 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 1295277648.

Contact Information

	Shelby Yaceczko, RDN
	350 Wisconsin Ave Apt 1, Long Beach, CA 90814-5699
	(330) 815-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Yaceczko
Gender	Female
Speciality	Dietitian, Registered
Location	350 Wisconsin Ave Apt 1, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295277648
Provider Enumeration Date: 11/15/2016
Last Update Date: 11/15/2016

Medicare PECOS Information:

PECOS PAC ID: 3173914041
Enrollment ID: I20220104000248

Medical Identifiers

Medical identifiers for Shelby Yaceczko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295277648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Shelby Yaceczko allows following entities to bill medicare on her behalf.

Provider Name	The Regents Of The University Of California
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Shelby Yaceczko 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
Shelby Yaceczko, RDN 350 Wisconsin Ave Apt 1, Long Beach, CA 90814-5699 Ph: () -	Shelby Yaceczko, RDN 350 Wisconsin Ave Apt 1, Long Beach, CA 90814-5699 Ph: (330) 815-8000

Reviews and Comments

Dietitian, Registered in Long Beach, CA

Ms. Barbara Susan Ravid, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3780 Kilroy Airport Way Ste 110, Long Beach, CA 90806 Phone: 562-897-1460
Cristina Joros, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6828 E Driscoll St, Long Beach, CA 90815 Phone: 661-607-2502
Terri Lynn Verone, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000
Magnolia Vela, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6285 E Spring St # 284, Long Beach, CA 90808 Phone: 562-424-4055 Fax: 949-577-4880
Ran Abe, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815 Phone: 562-294-1441
Dr. Rachel E Blaine, DSC, MPH, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815 Phone: 805-338-2558
Talbert Medical Group Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2925 Palo Verde Ave, Long Beach, CA 90815 Phone: 562-429-2473

Shelby Yaceczko, RDN - Medicare Dietitian in Long Beach, CA