Jacqlyn Raivo, RDN in Meridian, ID - Medicare Registered Dietitian Or Nutrition Professional Provider

Jacqlyn Raivo, RDN is a medicare enrolled "Dietitian, Registered" provider in Meridian, Idaho. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Rocky Mountain Diabetes And Osteoporosis Center Pa and her current practice location is 1859 S Topaz Way Ste 100, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 209-2432.

Jacqlyn Raivo is licensed to practice in Idaho (license number D1101) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740746403.

Contact Information

	Jacqlyn Raivo, RDN
	1859 S Topaz Way Ste 100, Meridian, ID 83642-4401
	(208) 209-2432
	(847) 859-5885

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqlyn Raivo
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	6 Years
Location	1859 S Topaz Way Ste 100, Meridian, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqlyn Raivo graduated from medical school in 2018

NPI Data:

NPI Number: 1740746403
Provider Enumeration Date: 02/18/2019
Last Update Date: 02/18/2019

Medicare PECOS Information:

PECOS PAC ID: 4880935550
Enrollment ID: I20190405000790

Medical Identifiers

Medical identifiers for Jacqlyn Raivo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740746403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D1101 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rocky Mountain Diabetes And Osteoporosis Center Pa	5890750483	16

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. Jacqlyn Raivo allows following entities to bill medicare on her behalf.

Provider Name	Rocky Mountain Diabetes And Osteoporosis Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336220243 PECOS PAC ID: 5890750483 Enrollment ID: O20041123000397

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. Jacqlyn Raivo 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
Jacqlyn Raivo, RDN 175 E Hawthorn Pkwy Ste 235, Vernon Hills, IL 60061-1454 Ph: (847) 737-8768	Jacqlyn Raivo, RDN 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 Ph: (208) 209-2432

Reviews and Comments

Dietitian, Registered in Meridian, ID

Eileen Myers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 965 W Eider Dr, Meridian, ID 83642 Phone: 208-258-9782
Chrisann M Hinson, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4716 W Quaker Ridge Dr, Meridian, ID 83646 Phone: 805-345-0894
Caylee Ketchum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1098 E Winslow St, Meridian, ID 83642 Phone: 208-860-3451
R2ms Wellness Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5410 S Ashcroft Way, Meridian, ID 83642 Phone: 208-505-8725 Fax: 208-567-0892
Jobeth Deanna Kuchar, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 Phone: 402-310-3662
Mrs. Cierra Nicole Neiwert, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1859 S Topaz Way Ste 100, Meridian, ID 83642 Phone: 208-209-2432 Fax: 848-859-5885
Mary Ginnetti, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1859 S Topaz Way Ste 100, Meridian, ID 83642 Phone: 208-209-2432

Jacqlyn Raivo, RDN - Medicare Dietitian in Meridian, ID