Jessica Lauren Thongparn, RD - Medicare Dietitian in Derby, CT

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Jessica Lauren Thongparn, RD is a medicare enrolled "Dietitian, Registered" provider in Derby, Connecticut. Her current practice location is 204 New Haven Ave Unit 8c, Derby, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 806-5013.

Jessica Lauren Thongparn is licensed to practice in Connecticut (license number 957503) 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 1093305674.

Contact Information

Jessica Lauren Thongparn, RD
204 New Haven Ave Unit 8c,
Derby, CT 06418-2150
(860) 806-5013
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJessica Lauren Thongparn
GenderFemale
SpecialityDietitian, Registered
Location204 New Haven Ave Unit 8c, Derby, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093305674
  • Provider Enumeration Date: 01/19/2021
  • Last Update Date: 01/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870951924
  • Enrollment ID: I20230621002537

Medical Identifiers

Medical identifiers for Jessica Lauren Thongparn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093305674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 957503 (Connecticut)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. Jessica Lauren Thongparn allows following entities to bill medicare on her behalf.
Provider NameConcord Hospital Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194778571
PECOS PAC ID: 6103721790
Enrollment ID: O20040405000916
Provider NameSpeare Memorial Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346402047
PECOS PAC ID: 1153318068
Enrollment ID: O20040823001172

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. Jessica Lauren Thongparn 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
Jessica Lauren Thongparn, RD
204 New Haven Ave Unit 8c,
Derby, CT 06418-2150

Ph: (860) 806-5013		Jessica Lauren Thongparn, RD
204 New Haven Ave Unit 8c,
Derby, CT 06418-2150

Ph: (860) 806-5013

Reviews and Comments


Dietitian, Registered in Derby, CT

Mrs. Christina Ernst, MS,RD,CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7579    
Stacey Leary, RD, CDN, CNSC
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7585    
Kate Kelley, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7585    Fax: 203-732-7356
Mrs. Kelly Lynnette Sheehan, R.D., CD-N
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Dining Services, Derby, CT 06418
Phone: 203-732-7585    Fax: 203-732-7356
Lauren Karamavros, R.D.
Dietitian
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7585    
Jody Wagner,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 860-478-8695    

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.