Alyssa Bosse, RDN is a medicare enrolled "Dietitian, Registered" provider in Englewood, Ohio. Her current practice location is
885 Union Road, Englewood, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 832-4060.
Alyssa Bosse is licensed to practice in Ohio (license number LD.08256) 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 1003334426.
Healthcare Provider's Profile
| Full Name | Alyssa Bosse |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 885 Union Road, Englewood, Ohio |
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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: 1003334426
- Provider Enumeration Date: 09/06/2017
- Last Update Date: 09/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 6800160391
- Enrollment ID: I20170921003244
Medical Identifiers
Medical identifiers for Alyssa Bosse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003334426 | NPI | - | NPPES |
| LD.08256 | Other | OH | OHIO BOARD OF DIETETICS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD.08256 (Ohio) | 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. Alyssa Bosse allows following entities to bill medicare on her behalf.
| Provider Name | Central Ohio Primary Care Physicians, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194705194
PECOS PAC ID: 2769383785
Enrollment ID: O20040114000204 |
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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. Alyssa Bosse 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 |
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Alyssa Bosse, RDN
885 Union Blvd,
Englewood, OH 45322-2102
Ph: () - | Alyssa Bosse, RDN
885 Union Road,
Englewood, OH 45322
Ph: (937) 832-4060 |
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