Abigail Benson Lively, MS, RD, CSSD, LD is a medicare enrolled "Dietitian, Registered" provider in North Quincy, Massachusetts. Her current practice location is
110 W Squantum St, North Quincy, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 376-3000.
Abigail Benson Lively is licensed to practice in Massachusetts (license number 5518) 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 1942931746.
Healthcare Provider's Profile
Full Name | Abigail Benson Lively |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 110 W Squantum St, North Quincy, 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: 1942931746
- Provider Enumeration Date: 06/22/2022
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456737295
- Enrollment ID: I20221003001935
Medical Identifiers
Medical identifiers for Abigail Benson Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942931746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 5518 (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. Abigail Benson Lively allows following entities to bill medicare on her behalf.
Provider Name | Manet Community Health Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1114027539 PECOS PAC ID: 4486555158 Enrollment ID: O20040115000950 |
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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. Abigail Benson Lively 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 |
Abigail Benson Lively, MS, RD, CSSD, LD 110 W Squantum St, North Quincy, MA 02171-2122 Ph: (617) 376-3000 | Abigail Benson Lively, MS, RD, CSSD, LD 110 W Squantum St, North Quincy, MA 02171-2122 Ph: (617) 376-3000 |
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