Harley Rogers, RD in Fairfield, CA - Medicare Dietitian, Registered Provider

Harley Rogers, RD is a medicare enrolled "Dietitian, Registered" provider in Fairfield, California. His current practice location is 2720 Low Ct, Fairfield, California. You can reach out to his office (for appointments etc.) via phone at (707) 253-5771.

Harley Rogers is licensed to practice in California (license number 86069886) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669065918.

Contact Information

	Harley Rogers, RD
	2720 Low Ct, Fairfield, CA 94534-9771
	(707) 253-5771
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Harley Rogers
Gender	Male
Speciality	Dietitian, Registered
Location	2720 Low Ct, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669065918
Provider Enumeration Date: 02/18/2021
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3971963406
Enrollment ID: I20230717000642

Medical Identifiers

Medical identifiers for Harley Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669065918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86069886 (California)	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. Harley Rogers allows following entities to bill medicare on his behalf.

Provider Name	Sutter Valley Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Harley Rogers 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
Harley Rogers, RD Po Box 255228, Sacramento, CA 95865-5228 Ph: (191) 670-8803	Harley Rogers, RD 2720 Low Ct, Fairfield, CA 94534-9771 Ph: (707) 253-5771

Reviews and Comments

Dietitian, Registered in Fairfield, CA

Mrs. Kay Lynn Peck, MPH RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4623
Silvia Becerra Well Now Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1545 N Texas St Ste 201, Fairfield, CA 94533 Phone: 818-745-7438
Anita Durham, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-426-3911 Fax: 707-428-2740
Ms. Kathleen M. Shafer, M.A., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 B Gale Wilson Blvd, Nutrition Services At Northbay Healthcare, Fairfield, CA 94533 Phone: 707-429-7870
Veronica Monti, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-434-2060 Fax: 707-436-2539
Jennifer B Culp, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-434-3911 Fax: 707-428-2740
Cynthia J Symons, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 Taylor St, Fairfield, CA 94533 Phone: 707-426-8305 Fax: 413-647-1269

Harley Rogers, RD - Medicare Dietitian in Fairfield, CA