Susan Roberta Warren, MS,RD,LN,CDE in Gallup, NM - Medicare Dietitian, Registered Provider

Susan Roberta Warren, MS,RD,LN,CDE is a medicare enrolled "Dietitian, Registered" provider in Gallup, New Mexico. Her current practice location is 516 E. Nizhoni Blvd., Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Susan Roberta Warren is licensed to practice in New Mexico (license number 149) 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 1154547115.

Contact Information

	Susan Roberta Warren, MS,RD,LN,CDE
	516 E. Nizhoni Blvd., Gallup, NM 87301-5748
	(505) 722-1000
	(928) 729-8045

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Roberta Warren
Gender	Female
Speciality	Dietitian, Registered
Location	516 E. Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154547115
Provider Enumeration Date: 04/18/2007
Last Update Date: 05/02/2016

Medicare PECOS Information:

PECOS PAC ID: 2769581834
Enrollment ID: I20070702000106

Medical Identifiers

Medical identifiers for Susan Roberta Warren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154547115	NPI	-	NPPES
149	Other	NM	LN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	149 (New Mexico)	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. Susan Roberta Warren allows following entities to bill medicare on her behalf.

Provider Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

Provider Name	Zuni Indian Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497843734 PECOS PAC ID: 5698689644 Enrollment ID: O20031114000284

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. Susan Roberta Warren 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
Susan Roberta Warren, MS,RD,LN,CDE P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Susan Roberta Warren, MS,RD,LN,CDE 516 E. Nizhoni Blvd., Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Dietitian, Registered in Gallup, NM

Sonja R Baca, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 Redrock Dr, Gallup, NM 87301 Phone: 505-863-7250
Sean David Myer, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1282
Patricia A. Sheely, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1525
Kay Josephson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301 Phone: 505-722-1464 Fax: 505-722-1496
Alvera Jean Enote, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1296
Scott Paden, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820

Susan Roberta Warren, MS,RD,LN,CDE - Medicare Dietitian in Gallup, NM