Carolyn Joseph Bouquot, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Streetsboro, Ohio. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
9205 State Route 43 Ste 106, Streetsboro, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 554-9327.
Carolyn Joseph Bouquot is licensed to practice in Ohio (license number 4344) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922208198.
Healthcare Provider's Profile
| Full Name | Carolyn Joseph Bouquot |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 33 Years |
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| Location | 9205 State Route 43 Ste 106, Streetsboro, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carolyn Joseph Bouquot graduated from medical school in 1991
NPI Data:
- NPI Number: 1922208198
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 11/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830285717
- Enrollment ID: I20071024000094
Medical Identifiers
Medical identifiers for Carolyn Joseph Bouquot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922208198 | NPI | - | NPPES |
| 0205731 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 4344 (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. Carolyn Joseph Bouquot allows following entities to bill medicare on her behalf.
| Provider Name | Western Reserve Nutrition |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356883474
PECOS PAC ID: 5698185650
Enrollment ID: O20201102001859 |
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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. Carolyn Joseph Bouquot 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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Carolyn Joseph Bouquot, RD, LD
5757 Bradford Way,
Hudson, OH 44236-3901
Ph: (330) 554-9327 | Carolyn Joseph Bouquot, RD, LD
9205 State Route 43 Ste 106,
Streetsboro, OH 44241-5366
Ph: (330) 554-9327 |
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