Katlyn Cusack, MS, RDN in Asbury Park, NJ - Medicare Dietitian, Registered Provider

Katlyn Cusack, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Asbury Park, New Jersey. Her current practice location is 1201 Springwood Ave Ste 104, Asbury Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 539-3584.

Katlyn Cusack is licensed to practice in New Jersey (license number 86103286) 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 1104489426.

Contact Information

	Katlyn Cusack, MS, RDN
	1201 Springwood Ave Ste 104, Asbury Park, NJ 07712-6796
	(732) 539-3584
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katlyn Cusack
Gender	Female
Speciality	Dietitian, Registered
Location	1201 Springwood Ave Ste 104, Asbury Park, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104489426
Provider Enumeration Date: 04/22/2019
Last Update Date: 04/22/2019

Medicare PECOS Information:

PECOS PAC ID: 2163852104
Enrollment ID: I20200415002153

Medical Identifiers

Medical identifiers for Katlyn Cusack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104489426	NPI	-	NPPES
86103286	Other	NJ	CDR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86103286 (New Jersey)	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. Katlyn Cusack allows following entities to bill medicare on her behalf.

Provider Name	Shore Nutrition Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457825622 PECOS PAC ID: 9234469693 Enrollment ID: O20190927000020

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. Katlyn Cusack 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
Katlyn Cusack, MS, RDN 1201 Springwood Ave Ste 104, Asbury Park, NJ 07712-6796 Ph: () -	Katlyn Cusack, MS, RDN 1201 Springwood Ave Ste 104, Asbury Park, NJ 07712-6796 Ph: (732) 539-3584

Reviews and Comments

Dietitian, Registered in Asbury Park, NJ

Carolyn Mccahill, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 220 4th Ave Apt 5, Asbury Park, NJ 07712 Phone: 908-489-4370
Rachel Mahalow, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1114 Monroe Ave, Asbury Park, NJ 07712 Phone: 908-616-4804
Mr. James R Montgomery Iv, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1201 Springwood Ave, Asbury Park, NJ 07712 Phone: 267-229-9535
Narissa Medina, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 610 Sewall Ave Apt 10s, Asbury Park, NJ 07712 Phone: 732-796-5490
Janet Blum, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St, Asbury Park, NJ 07712 Phone: 732-774-6333

Katlyn Cusack, MS, RDN - Medicare Dietitian in Asbury Park, NJ