Alice Gray Deloache Tollison, MS RD LDN in Charleston, SC - Medicare Dietitian, Registered Provider

Alice Gray Deloache Tollison, MS RD LDN is a medicare enrolled "Dietitian, Registered" provider in Charleston, South Carolina. Her current practice location is 10 Mcclennan Banks Dr, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 985-1593.

Alice Gray Deloache Tollison is licensed to practice in South Carolina (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 1053898932.

Contact Information

	Alice Gray Deloache Tollison, MS RD LDN
	10 Mcclennan Banks Dr, Charleston, SC 29425-2422
	(843) 985-1593
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alice Gray Deloache Tollison
Gender	Female
Speciality	Dietitian, Registered
Location	10 Mcclennan Banks Dr, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053898932
Provider Enumeration Date: 07/24/2018
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9830556406
Enrollment ID: I20230613002470

Medical Identifiers

Medical identifiers for Alice Gray Deloache Tollison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053898932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(South Carolina)	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. Alice Gray Deloache Tollison allows following entities to bill medicare on her behalf.

Provider Name	Medical University Hospital Authority
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499

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. Alice Gray Deloache Tollison 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
Alice Gray Deloache Tollison, MS RD LDN 10 Mcclennan Banks Dr, Charleston, SC 29401-1164 Ph: (843) 985-1593	Alice Gray Deloache Tollison, MS RD LDN 10 Mcclennan Banks Dr, Charleston, SC 29425-2422 Ph: (843) 985-1593

Reviews and Comments

Dietitian, Registered in Charleston, SC

Susanne H Hendricks, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
Mrs. Amy Bilbo, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Ashley Ave, Msc 905, Charleston, SC 29425 Phone: 843-876-7271
Madison Locke, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Mrs. Debra Petitpain, MS, LD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Courtenay Dr, Msc 290, Ste7100a, Charleston, SC 29425 Phone: 843-876-4867
Mrs. Cecilia Kennedy Mcmillan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Ashley Ave, Suite Eh1108, Charleston, SC 29425 Phone: 843-792-9774
James Peter Klauder, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-9704
Keely Flynn Hudgins, MPH,RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2093 Henry Tecklenburg Dr Ste 202e, Charleston, SC 29414 Phone: 843-958-2590 Fax: 843-402-1972

Alice Gray Deloache Tollison, MS RD LDN - Medicare Dietitian in Charleston, SC