Cynthia Lynn Neenan Baranoski, is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Villa Park, Illinois. Her current practice location is
830 S Addison Ave, Villa Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 620-4433.
Cynthia Lynn Neenan Baranoski is licensed to practice in Illinois (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 1871600536.
Healthcare Provider's Profile
| Full Name | Cynthia Lynn Neenan Baranoski |
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| Gender | Female |
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| Speciality | Dietitian, Registered - Nutrition, Pediatric |
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| Location | 830 S Addison Ave, Villa Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871600536
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779509286
- Enrollment ID: I20051024000199
Medical Identifiers
Medical identifiers for Cynthia Lynn Neenan Baranoski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871600536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (Illinois) | 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. Cynthia Lynn Neenan Baranoski allows following entities to bill medicare on her behalf.
| Provider Name | Easter Seals Dupage And The Fox Valley Region |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568460681
PECOS PAC ID: 7113963919
Enrollment ID: O20050701000395 |
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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. Cynthia Lynn Neenan Baranoski 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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Cynthia Lynn Neenan Baranoski,
830 S Addison Ave,
Villa Park, IL 60181-2877
Ph: (630) 620-4433 | Cynthia Lynn Neenan Baranoski,
830 S Addison Ave,
Villa Park, IL 60181-2877
Ph: (630) 620-4433 |
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