Dietitians Of Northern New York - Medicare Dietitian in Watertown, NY

Dietitians Of Northern New York is a medicare enrolled "Dietitian, Registered" provider in Watertown, New York. Their current practice location is 415 Sherman St, Watertown, New York. You can reach out to their office (for appointments etc.) via phone at (315) 221-4881.

Dietitians Of Northern New York is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dietitians Of Northern New York is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316515208.

Contact Information

Dietitians Of Northern New York
415 Sherman St,
Watertown, NY 13601-3920
(315) 221-4881
(315) 777-4111

Map and Direction




Healthcare Provider's Profile

Full NameDietitians Of Northern New York
TypeFacility
SpecialityDietitian, Registered
Location415 Sherman St, Watertown, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316515208
  • Provider Enumeration Date: 06/16/2021
  • Last Update Date: 11/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022497981
  • Enrollment ID: O20220623000806

Medical Identifiers

Medical identifiers for Dietitians Of Northern New York such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316515208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, 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. Dietitians Of Northern New York acts as a billing entity for following providers:
Provider NameEtosha Lynn Farmer
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1144518499
PECOS PAC ID: 4688847270
Enrollment ID: I20111026000623
Provider NameAmanda Lyn Woolnough
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760126627
PECOS PAC ID: 8224403373
Enrollment ID: I20230404000487
Provider NameLaura Jean Mcmanus
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881186468
PECOS PAC ID: 5193180354
Enrollment ID: I20230424001687

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. Dietitians Of Northern New York 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 AddressPractice Location Address
Dietitians Of Northern New York
415 Sherman St,
Watertown, NY 13601-3920

Ph: (315) 221-4881
Dietitians Of Northern New York
415 Sherman St,
Watertown, NY 13601-3920

Ph: (315) 221-4881

Reviews and Comments


Dietitian, Registered in Watertown, NY

Watertown Urban Mission
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Practice Location: 247 Factory St, Watertown, NY 13601
Phone: 315-782-8440    
Mrs. Mariana Olga Serback, MS, RDN
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Medicare: Not Enrolled in Medicare
Practice Location: 19500 Woodside Dr, Watertown, NY 13601
Phone: 315-778-9218    
Feed The Soul Nutrition
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 312 Sherman Street, Watertown, NY 13601
Phone: 315-955-9998    Fax: 315-782-0386
Dawn Patricia Berry, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 215 Washington St, Suite 108, Watertown, NY 13601
Phone: 315-783-6810    
Dietitians Of Northern New York
Dietitian
Medicare: Medicare Enrolled
Practice Location: 312 Sherman St, Watertown, NY 13601
Phone: 315-486-6077    Fax: 315-486-6077
Mr. Brandon Lukas Lee, MS, RD, LDN, CCRP
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 30 Flower Ave. E, Watertown, NY 13601
Phone: 845-224-8937    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.