Amanda Jacqueline Reichardt, MS RDN CDN CPT in Babylon, NY - Medicare Dietitian, Registered Provider

Amanda Jacqueline Reichardt, MS RDN CDN CPT is a medicare enrolled "Dietitian, Registered" provider in Babylon, New York. Her current practice location is 41 John St, Babylon, New York. You can reach out to her office (for appointments etc.) via phone at (631) 205-3375.

Amanda Jacqueline Reichardt is licensed to practice in New York (license number 86050604) 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 1093415135.

Contact Information

	Amanda Jacqueline Reichardt, MS RDN CDN CPT
	41 John St, Babylon, NY 11702-2932
	(631) 205-3375
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Jacqueline Reichardt
Gender	Female
Speciality	Dietitian, Registered
Location	41 John St, Babylon, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093415135
Provider Enumeration Date: 03/07/2023
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9335684414
Enrollment ID: I20240712002529

Medical Identifiers

Medical identifiers for Amanda Jacqueline Reichardt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093415135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86050604 (New York)	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. Amanda Jacqueline Reichardt allows following entities to bill medicare on her behalf.

Provider Name	Functional Nutrition Rx Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548874563 PECOS PAC ID: 5193196939 Enrollment ID: O20230113001885

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. Amanda Jacqueline Reichardt 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
Amanda Jacqueline Reichardt, MS RDN CDN CPT 41 John St, Babylon, NY 11702-2932 Ph: (631) 204-3375	Amanda Jacqueline Reichardt, MS RDN CDN CPT 41 John St, Babylon, NY 11702-2932 Ph: (631) 205-3375

Reviews and Comments

Dietitian, Registered in Babylon, NY

Ms. Lisa Ann Moore, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Park Ave, Babylon, NY 11702 Phone: 646-468-9821
Miss Caitlin Justine Alfano, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-321-1900
Erin Lettieri, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-204-3375
Christina Diana, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 421 Deer Park Ave, Babylon, NY 11702 Phone: 631-941-1028 Fax: 631-941-1010
Mrs. Kristen Bronde Farrelly, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 655 Deer Park Ave, Babylon, NY 11702 Phone: 631-321-2100
Alicia Lauren Wright, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-204-3375

Amanda Jacqueline Reichardt, MS RDN CDN CPT - Medicare Dietitian in Babylon, NY