Jaclyn Fodor, RD, LD in Bedford, NH - Medicare Dietitian, Registered Provider

Jaclyn Fodor, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Bedford, New Hampshire. Her current practice location is 80 Palomino Ln, Suite 101, Bedford, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 518-5859.

Jaclyn Fodor is licensed to practice in New Hampshire (license number 0685) 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 1265860407.

Contact Information

	Jaclyn Fodor, RD, LD
	80 Palomino Ln, Suite 101, Bedford, NH 03110-6447
	(603) 518-5859
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Fodor
Gender	Female
Speciality	Dietitian, Registered
Location	80 Palomino Ln, Bedford, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265860407
Provider Enumeration Date: 10/25/2013
Last Update Date: 06/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2365814761
Enrollment ID: I20230213001511

Medical Identifiers

Medical identifiers for Jaclyn Fodor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265860407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	0685 (New Hampshire)	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. Jaclyn Fodor allows following entities to bill medicare on her behalf.

Provider Name	Nutrition In Motion
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20201104000480

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. Jaclyn Fodor 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
Jaclyn Fodor, RD, LD 78 Perry Ave, Lynnfield, MA 01940-1841 Ph: (781) 580-9311	Jaclyn Fodor, RD, LD 80 Palomino Ln, Suite 101, Bedford, NH 03110-6447 Ph: (603) 518-5859

Reviews and Comments

Dietitian, Registered in Bedford, NH

Marilyn M Mills, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 360 Route 101, Ste 10, Bedford, NH 03110 Phone: 603-472-2846 Fax: 603-472-2872
Center For Eating Disorders Management Dietitian Medicare: Not Enrolled in Medicare Practice Location: 360 Route 101 Ste 10, Bedford, NH 03110 Phone: 603-472-2846 Fax: 603-472-2872
Mrs. Jillian Lee Grosse, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Palomino Lane Nutrition In Motion, Llc, Suite 101, Bedford, NH 03110 Phone: 603-518-5859 Fax: 603-606-1032
Rd To Wellness Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 40 S River Rd Unit 21, Bedford, NH 03110 Phone: 978-877-7909
New Hampshire Natural Health Clinic Dietitian Medicare: Not Enrolled in Medicare Practice Location: 304 Riverway Pl, Bedford, NH 03110 Phone: 603-623-6800 Fax: 603-623-6812
Ms. Carrie Lyons, RD Dietitian Medicare: Medicare Enrolled Practice Location: 80 Palomino Ln Ste 101, Bedford, NH 03110 Phone: 888-964-1975

Jaclyn Fodor, RD, LD - Medicare Dietitian in Bedford, NH