Jacqueline Lucero De La Torre, RDN, CDCES in Pasadena, CA - Medicare Dietitian, Registered Provider

Jacqueline Lucero De La Torre, RDN, CDCES is a medicare enrolled "Dietitian, Registered" provider in Pasadena, California. Her current practice location is 1994 N Raymond Ave, Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (626) 399-2958.

Jacqueline Lucero De La Torre is licensed to practice in California (license number 86144051) 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 1629684295.

Contact Information

	Jacqueline Lucero De La Torre, RDN, CDCES
	1994 N Raymond Ave, Pasadena, CA 91103-1734
	(626) 399-2958
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Lucero De La Torre
Gender	Female
Speciality	Dietitian, Registered
Location	1994 N Raymond Ave, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629684295
Provider Enumeration Date: 09/19/2020
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 0941610901
Enrollment ID: I20211004002856

Medical Identifiers

Medical identifiers for Jacqueline Lucero De La Torre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629684295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86144051 (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. Jacqueline Lucero De La Torre allows following entities to bill medicare on her behalf.

Provider Name	Northeast Community Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700097540 PECOS PAC ID: 5193710275 Enrollment ID: O20040417000619

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. Jacqueline Lucero De La Torre 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
Jacqueline Lucero De La Torre, RDN, CDCES 1994 N Raymond Ave, Pasadena, CA 91103-1734 Ph: (626) 399-2958	Jacqueline Lucero De La Torre, RDN, CDCES 1994 N Raymond Ave, Pasadena, CA 91103-1734 Ph: (626) 399-2958

Reviews and Comments

Dietitian, Registered in Pasadena, CA

Deborah Barker-benfield, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1845 N Fair Oaks Ave, Pasadena, CA 91103 Phone: 626-744-6089
Ms. Karina Rico, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 Alessandro Pl Ste 360, Pasadena, CA 91105 Phone: 626-545-1233
Esther Schuster, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1845 N Fair Oaks Ave, Pasadena, CA 91103 Phone: 626-744-6080 Fax: 626-396-7315
Whitney Catalano, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 Phone: 818-862-8478
Vanessa Avila, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 680 E Colorado Blvd Ste 180, Pasadena, CA 91101 Phone: 626-648-5315
Mrs. Kristen Rouhe Van Rooyen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3160 Las Lunas St, Pasadena, CA 91107 Phone: 626-844-6568
Gloria Marie Williamson, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 Fax: 626-793-7341

Jacqueline Lucero De La Torre, RDN, CDCES - Medicare Dietitian in Pasadena, CA