Kathryn Leigh Balkunas, RDN, CDE is a medicare enrolled "Dietitian, Registered - Nutrition, Metabolic" provider in Harwinton, Connecticut. Her current practice location is
500 Burlington Rd, Harwinton, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 485-0405.
Kathryn Leigh Balkunas is licensed to practice in Connecticut (license number 001637) 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 1841779675.
Healthcare Provider's Profile
| Full Name | Kathryn Leigh Balkunas |
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| Gender | Female |
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| Speciality | Dietitian, Registered - Nutrition, Metabolic |
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| Location | 500 Burlington Rd, Harwinton, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841779675
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 11/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789926528
- Enrollment ID: I20190503001087
Medical Identifiers
Medical identifiers for Kathryn Leigh Balkunas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841779675 | NPI | - | NPPES |
| 001637 | Other | CT | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 001637 (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. Kathryn Leigh Balkunas allows following entities to bill medicare on her behalf.
| Provider Name | Ct Nutrition Consultants, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285914903
PECOS PAC ID: 9032364823
Enrollment ID: O20130228000147 |
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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. Kathryn Leigh Balkunas 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 |
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Kathryn Leigh Balkunas, RDN, CDE
197 Johnnycake Mountain Rd,
Burlington, CT 06013-2011
Ph: (860) 484-9808 | Kathryn Leigh Balkunas, RDN, CDE
500 Burlington Rd,
Harwinton, CT 06791-1506
Ph: (860) 485-0405 |
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