Grace Mae Bartolillo, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Walton, New York. Her current practice location is
2 Titus Pl, Walton, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 865-2171.
Grace Mae Bartolillo is licensed to practice in New York (license number 928918) 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 1780348383.
Healthcare Provider's Profile
| Full Name | Grace Mae Bartolillo |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2 Titus Pl, Walton, New York |
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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: 1780348383
- Provider Enumeration Date: 10/29/2021
- Last Update Date: 10/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931378858
- Enrollment ID: I20230310001619
Medical Identifiers
Medical identifiers for Grace Mae Bartolillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780348383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 928918 (New York) | 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. Grace Mae Bartolillo allows following entities to bill medicare on her behalf.
| Provider Name | Delaware Valley Hospital Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144312646
PECOS PAC ID: 2860388337
Enrollment ID: O20040223001307 |
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| Provider Name | Delaware Valley Hospital Inc. |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1417940719
PECOS PAC ID: 2860388337
Enrollment ID: O20210611000846 |
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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. Grace Mae Bartolillo 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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Grace Mae Bartolillo, RD, CDN
2 Titus Pl,
Walton, NY 13856-1455
Ph: (607) 865-2159 | Grace Mae Bartolillo, RD, CDN
2 Titus Pl,
Walton, NY 13856-1455
Ph: (607) 865-2171 |
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