Angela Kish, RDN in Okemos, MI - Medicare Dietitian, Registered Provider

Angela Kish, RDN is a medicare enrolled "Dietitian, Registered" provider in Okemos, Michigan. Her current practice location is 2222 W Grand River Ave Ste A, Okemos, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 707-1964.

Angela Kish 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 1508369430.

Contact Information

	Angela Kish, RDN
	2222 W Grand River Ave Ste A, Okemos, MI 48864-1604
	(734) 707-1964
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Kish
Gender	Female
Speciality	Dietitian, Registered
Location	2222 W Grand River Ave Ste A, Okemos, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508369430
Provider Enumeration Date: 03/16/2018
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0345608162
Enrollment ID: I20230626002548

Medical Identifiers

Medical identifiers for Angela Kish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508369430	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. Angela Kish allows following entities to bill medicare on her behalf.

Provider Name	Ilivewell Nutrition Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498

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. Angela Kish 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
Angela Kish, RDN 2222 W Grand River Ave Ste A, Okemos, MI 48864-1604 Ph: () -	Angela Kish, RDN 2222 W Grand River Ave Ste A, Okemos, MI 48864-1604 Ph: (734) 707-1964

Reviews and Comments

Dietitian, Registered in Okemos, MI

Kayleigh Delaney, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5050 Marsh Road, Suite 5, Okemos, MI 48864 Phone: 517-940-8848
Helen Dersch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2203 Butternut Dr, Okemos, MI 48864 Phone: 517-349-6466
Kjam Health Services, Pc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5050 Marsh Rd, Suite 5, Okemos, MI 48864 Phone: 517-940-8848
Kaylan Hebert, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2222 W Grand River Ave Ste A, Okemos, MI 48864 Phone: 313-306-7942
Mrs. Moushumi Mukherjee, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2700 Loon Ln, Okemos, MI 48864 Phone: 732-762-1068

Angela Kish, RDN - Medicare Dietitian in Okemos, MI