Jenna Bannon, MS, RD, CDN - Medicare Dietitian in Bay Shore, NY

Jenna Bannon, MS, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Bay Shore, New York. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 301 E Main St, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (631) 968-3593.

Jenna Bannon is licensed to practice in New York (license number 0074641) 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 1003157546.

Contact Information

Jenna Bannon, MS, RD, CDN
301 E Main St,
Bay Shore, NY 11706-8408
(631) 968-3593
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJenna Bannon
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience15 Years
Location301 E Main St, Bay Shore, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jenna Bannon graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1003157546
  • Provider Enumeration Date: 03/08/2013
  • Last Update Date: 03/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3577707249
  • Enrollment ID: I20130919000087

Medical Identifiers

Medical identifiers for Jenna Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003157546NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 0074641 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

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. Jenna Bannon allows following entities to bill medicare on her behalf.
Provider NameNorth Shore - Lij Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Jenna Bannon 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 AddressPractice Location Address
Jenna Bannon, MS, RD, CDN
202 Cassa Loop,
Holtsville, NY 11742-2609

Ph: () -
Jenna Bannon, MS, RD, CDN
301 E Main St,
Bay Shore, NY 11706-8408

Ph: (631) 968-3593

Reviews and Comments


Dietitian, Registered in Bay Shore, NY

Danielle Lee Deluca, R.D., C.D.N.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Main St, Bay Shore, NY 11706
Phone: 631-987-4978    
Victoria Lucille Miranda, MS, RD, CPT
Dietitian
Medicare: Medicare Enrolled
Practice Location: 250 E Main St, Bay Shore, NY 11706
Phone: 631-390-7100    Fax: 631-390-7128
Daniela Contreras Enciso, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 5 Woodbine Ave, Bay Shore, NY 11706
Phone: 631-418-4125    
Alexa Rae Ardito, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 25 Ridgeway Blvd, Bay Shore, NY 11706
Phone: 631-697-7431    
Megan Smith, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 15 Park Ave, Bay Shore, NY 11706
Phone: 631-376-3699    
Empowered Beast Nutrition Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1432 E Forks Rd, Bay Shore, NY 11706
Phone: 646-243-2868    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.