Elizabeth Anne White, RD in Glastonbury, CT - Medicare Dietitian, Registered Provider

Elizabeth Anne White, RD is a medicare enrolled "Dietitian, Registered" provider in Glastonbury, Connecticut. Her current practice location is 2790 Main St, Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 430-9922.

Elizabeth Anne White is licensed to practice in Connecticut (license number 18004653203) 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 1124796370.

Contact Information

	Elizabeth Anne White, RD
	2790 Main St, Glastonbury, CT 06033-4607
	(860) 430-9922
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Anne White
Gender	Female
Speciality	Dietitian, Registered
Location	2790 Main St, Glastonbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124796370
Provider Enumeration Date: 09/02/2021
Last Update Date: 09/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5597152801
Enrollment ID: I20220504002402

Medical Identifiers

Medical identifiers for Elizabeth Anne White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124796370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	PENDING (Connecticut)	Secondary
133V00000X	Dietitian, Registered	18004653203 (Connecticut)	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. Elizabeth Anne White allows following entities to bill medicare on her behalf.

Provider Name	Clinical Weight Loss & Wellness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265990030 PECOS PAC ID: 6709273014 Enrollment ID: O20220504002271

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. Elizabeth Anne White 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
Elizabeth Anne White, RD 69 Fox Ridge Ln, Hebron, CT 06248-1382 Ph: (860) 338-9133	Elizabeth Anne White, RD 2790 Main St, Glastonbury, CT 06033-4607 Ph: (860) 430-9922

Reviews and Comments

Dietitian, Registered in Glastonbury, CT

Mr. Michael Joseph Ouellette, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 480 Naubuc Ave, Glastonbury, CT 06033 Phone: 860-494-2400 Fax: 860-494-2402
Cassandra Marie Neal, Dietitian Medicare: Medicare Enrolled Practice Location: 330 Western Blvd, Glastonbury, CT 06033 Phone: 860-346-2071
Ms. Therese Mcconnell Nuzzolo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Breeds Hill Rd, Nuzzolo Nutriton, Glastonbury, CT 06033 Phone: 860-888-9864
Resilient Nutrition Counseling Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3661 Hebron Ave, Glastonbury, CT 06033 Phone: 860-579-4300
Nutrition And Wellness Consulting, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave Ste 107, Glastonbury, CT 06033 Phone: 860-659-4656
Maria R Fill, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41b New London Tpke, Glastonbury, CT 06033 Phone: 860-916-3676

Elizabeth Anne White, RD - Medicare Dietitian in Glastonbury, CT