Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD in Dallas, TX - Medicare Dietitian, Registered Provider

Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD is a medicare enrolled "Dietitian, Registered - Nutrition, Pediatric" provider in Dallas, Texas. Her current practice location is 2222 Welborn St, Dietary Department, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 559-7534.

Gwendolyn Ann Wittenbrook is licensed to practice in Texas (license number DT05780) 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 1427432731.

Contact Information

	Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD
	2222 Welborn St, Dietary Department, Dallas, TX 75219-3924
	(214) 559-7534
	(214) 559-8394

Map and Direction

Healthcare Provider's Profile

Full Name	Gwendolyn Ann Wittenbrook
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Pediatric
Location	2222 Welborn St, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427432731
Provider Enumeration Date: 07/16/2015
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4880056142
Enrollment ID: I20230817003569

Medical Identifiers

Medical identifiers for Gwendolyn Ann Wittenbrook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427432731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	DT05780 (Texas)	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. Gwendolyn Ann Wittenbrook allows following entities to bill medicare on her behalf.

Provider Name	Cook Childrens Physician Network
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Gwendolyn Ann Wittenbrook 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
Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD 2222 Welborn St, Dietary Department, Dallas, TX 75219-3924 Ph: (214) 559-7534	Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD 2222 Welborn St, Dietary Department, Dallas, TX 75219-3924 Ph: (214) 559-7534

Reviews and Comments

Dietitian, Registered in Dallas, TX

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Morgan Baulier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17060 Dallas Pkwy Ste 112, Dallas, TX 75248 Phone: 469-372-2022 Fax: 833-290-5413
Remy Bidmead, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17060 Dallas Pkwy Ste 112, Dallas, TX 75248 Phone: 469-643-1978 Fax: 833-290-5413
Halle Newell, RDN, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 844-424-4537
Mrs. Meredith Doerries Ratliff, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8200 Walnut Hill Ln, Dallas, TX 75231 Phone: 214-345-7413

Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD - Medicare Dietitian in Dallas, TX