Elise Chassen Sopov, is a medicare enrolled "Dietitian, Registered" provider in Cedar Grove, New Jersey. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
1376 Pompton Ave, Cedar Grove, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 200-0896.
Elise Chassen Sopov is licensed to practice in * (Not Available) (license number ) 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 1639254162.
Healthcare Provider's Profile
| Full Name | Elise Chassen Sopov |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 19 Years |
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| Location | 1376 Pompton Ave, Cedar Grove, New Jersey |
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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:
- Elise Chassen Sopov graduated from medical school in 2006
NPI Data:
- NPI Number: 1639254162
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 01/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618076589
- Enrollment ID: I20070619000395
Medical Identifiers
Medical identifiers for Elise Chassen Sopov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639254162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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. Elise Chassen Sopov allows following entities to bill medicare on her behalf.
| Provider Name | Nourish Your Body, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679874184
PECOS PAC ID: 4981990157
Enrollment ID: O20160914002190 |
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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. Elise Chassen Sopov 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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Elise Chassen Sopov,
71 Bergen Dr,
Little Falls, NJ 07424-1341
Ph: (973) 200-0896 | Elise Chassen Sopov,
1376 Pompton Ave,
Cedar Grove, NJ 07009-1011
Ph: (973) 200-0896 |
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