Stephanie Sudjian, in Bryn Mawr, PA - Medicare Dietitian, Registered Provider

Stephanie Sudjian, is a medicare enrolled "Dietitian, Registered" provider in Bryn Mawr, Pennsylvania. Her current practice location is 755 W Lancaster Ave # 1171, Bryn Mawr, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (508) 907-8850.

Stephanie Sudjian is licensed to practice in Massachusetts (license number 4137) 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 1033667704.

Contact Information

	Stephanie Sudjian,
	755 W Lancaster Ave # 1171, Bryn Mawr, PA 19010-3401
	(508) 907-8850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Sudjian
Gender	Female
Speciality	Dietitian, Registered
Location	755 W Lancaster Ave # 1171, Bryn Mawr, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033667704
Provider Enumeration Date: 09/12/2016
Last Update Date: 07/07/2025

Medicare PECOS Information:

PECOS PAC ID: 4789085317
Enrollment ID: I20240411002464

Medical Identifiers

Medical identifiers for Stephanie Sudjian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033667704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	4137 (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. Stephanie Sudjian allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Stephanie Sudjian 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
Stephanie Sudjian, 755 W Lancaster Ave # 1171, Bryn Mawr, PA 19010-3401 Ph: (508) 907-8850	Stephanie Sudjian, 755 W Lancaster Ave # 1171, Bryn Mawr, PA 19010-3401 Ph: (508) 907-8850

Reviews and Comments

Dietitian, Registered in Bryn Mawr, PA

Amanda Thomas, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 135 S Bryn Mawr Ave Ste 200, Bryn Mawr, PA 19010 Phone: 610-325-1390 Fax: 610-325-1373
Mrs. Kerri B.l. Heckert, MS, RD, LDN, CEDS-S Dietitian Medicare: Not Enrolled in Medicare Practice Location: 755 West Lancaster Avenue, Bryn Mawr, PA 19010 Phone: 610-255-7079
Dolce Vita Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14 Thomas Ave, Bryn Mawr, PA 19010 Phone: 610-529-7966
Colleen Gerg, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 800 Lafayette Rd, Bryn Mawr, PA 19010 Phone: 202-497-4202
Ms. Katherine Kelly Turner, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1022 Barberry Rd, Bryn Mawr, PA 19010 Phone: 610-306-4679
Judith A Rodkey-matusky, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 S Bryn Mawr Ave Ste 200, Bryn Mawr, PA 19010 Phone: 610-325-1390 Fax: 610-325-1373

Stephanie Sudjian, - Medicare Dietitian in Bryn Mawr, PA