Cayla Jablonski Bousaba, RDN in Richmond, VA - Medicare Dietitian, Registered Provider

Cayla Jablonski Bousaba, RDN is a medicare enrolled "Dietitian, Registered" provider in Richmond, Virginia. Her current practice location is 420 Libbie Ave Ste 200, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (828) 443-5789.

Cayla Jablonski Bousaba is licensed to practice in * (Not Available) (license number 86087622) 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 1326513391.

Contact Information

	Cayla Jablonski Bousaba, RDN
	420 Libbie Ave Ste 200, Richmond, VA 23226-2664
	(828) 443-5789
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cayla Jablonski Bousaba
Gender	Female
Speciality	Dietitian, Registered
Location	420 Libbie Ave Ste 200, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326513391
Provider Enumeration Date: 10/05/2018
Last Update Date: 11/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5193195832
Enrollment ID: I20221221001961

Medical Identifiers

Medical identifiers for Cayla Jablonski Bousaba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326513391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86087622 (* (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. Cayla Jablonski Bousaba allows following entities to bill medicare on her behalf.

Provider Name	Dietitians On Demand, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588308977 PECOS PAC ID: 1850768482 Enrollment ID: O20221110001040

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. Cayla Jablonski Bousaba 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
Cayla Jablonski Bousaba, RDN 420 Libbie Ave Ste 200, Richmond, VA 23226-2664 Ph: (828) 443-5789	Cayla Jablonski Bousaba, RDN 420 Libbie Ave Ste 200, Richmond, VA 23226-2664 Ph: (828) 443-5789

Reviews and Comments

Dietitian, Registered in Richmond, VA

Sara Jones, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1663 Westhill Rd, Richmond, VA 23226 Phone: 757-705-8715
Miss Stephanie Jeanne Sherman, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Va Medical Center, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5667
Jessica L Fentress, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4110 Fitzhugh Ave, Richmond, VA 23230 Phone: 757-710-9210
Ms. Mary-jo Sawyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Ob/gyn Registered Dietitian, Richmond, VA 23298 Phone: 804-560-8950 Fax: 804-560-7343
Lindsey Hall, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9109 Stony Point Dr, Richmond, VA 23235 Phone: 804-827-0045
Mrs. Regine Birkenhauer Dallosta, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Registered Dietitian, Richmond, VA 23298 Phone: 804-828-0970 Fax: 804-628-0921
Megan Elizabeth Flynn, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5875 Bremo Rd Ste 712, Richmond, VA 23226 Phone: 804-287-7162

Cayla Jablonski Bousaba, RDN - Medicare Dietitian in Richmond, VA