Itchaqueira Beatriz Fontanez Vendrell, RD/LDN is a medicare enrolled "Dietitian, Registered" provider in Wellington, Florida. Her current practice location is
1675 Polo Lake Dr E Apt 104, Wellington, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 258-7986.
Itchaqueira Beatriz Fontanez Vendrell is licensed to practice in Florida (license number 9854) 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 1629664685.
Healthcare Provider's Profile
| Full Name | Itchaqueira Beatriz Fontanez Vendrell |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1675 Polo Lake Dr E Apt 104, Wellington, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629664685
- Provider Enumeration Date: 12/14/2020
- Last Update Date: 12/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 6002220373
- Enrollment ID: I20210127002259
Medical Identifiers
Medical identifiers for Itchaqueira Beatriz Fontanez Vendrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629664685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 9854 (Florida) | 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. Itchaqueira Beatriz Fontanez Vendrell allows following entities to bill medicare on her behalf.
| Entity Name | Core Health Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649815200
PECOS PAC ID: 0143654145
Enrollment ID: O20191230000274 |
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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. Itchaqueira Beatriz Fontanez Vendrell 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 |
|---|
Itchaqueira Beatriz Fontanez Vendrell, RD/LDN
1675 Polo Lake Dr E Apt 104,
Wellington, FL 33414-3112
Ph: (863) 258-7986 | Itchaqueira Beatriz Fontanez Vendrell, RD/LDN
1675 Polo Lake Dr E Apt 104,
Wellington, FL 33414-3112
Ph: (863) 258-7986 |
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