Amy Ellithorpe-bruant, RDN in Los Angeles, CA - Medicare Dietitian, Registered Provider

Amy Ellithorpe-bruant, RDN is a medicare enrolled "Dietitian, Registered" provider in Los Angeles, California. Her current practice location is 619 S Olive St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 391-7262.

Amy Ellithorpe-bruant is licensed to practice in * (Not Available) (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 1184334252.

Contact Information

	Amy Ellithorpe-bruant, RDN
	619 S Olive St, Los Angeles, CA 90014-1546
	(323) 391-7262
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Ellithorpe-bruant
Gender	Female
Speciality	Dietitian, Registered
Location	619 S Olive St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184334252
Provider Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3476903881
Enrollment ID: I20240422000827

Medical Identifiers

Medical identifiers for Amy Ellithorpe-bruant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184334252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Amy Ellithorpe-bruant allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Amy Ellithorpe-bruant 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
Amy Ellithorpe-bruant, RDN 619 S Olive St, Los Angeles, CA 90014-1546 Ph: (323) 391-7262	Amy Ellithorpe-bruant, RDN 619 S Olive St, Los Angeles, CA 90014-1546 Ph: (323) 391-7262

Reviews and Comments

Dietitian, Registered in Los Angeles, CA

Mrs. Fabiana C Lahmon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 N Vermont Ave, Los Angeles, CA 90027 Phone: 323-783-7011
Tracey Kurland, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12121 Wilshire Blvd, 601, Los Angeles, CA 90025 Phone: 310-820-0205
Ms. Barbara Erthal Smeral Hollander, RD, MD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8730 Alden Drive, Thalians, E220, Los Angeles, CA 90048 Phone: 310-423-8056
Amanda Salvestrini, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11301 Wilshire Blvd, Building 213. 3rd Floor. Room 317., Los Angeles, CA 90073 Phone: 310-478-3711
Rachana Rose Varghese, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-660-2450
Jeannie Wakamatsu, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 Phone: 213-740-1728
Food And Mirth Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1444 N Poinsettia Pl Apt 217, Los Angeles, CA 90046 Phone: 818-804-8056

Amy Ellithorpe-bruant, RDN - Medicare Dietitian in Los Angeles, CA