Kelly Pywtorak, RDN in Templeton, CA - Medicare Dietitian, Registered Provider

Kelly Pywtorak, RDN is a medicare enrolled "Dietitian, Registered" provider in Templeton, California. Her current practice location is 1330 Las Tablas Rd, Templeton, California. You can reach out to her office (for appointments etc.) via phone at (805) 542-6700.

Kelly Pywtorak is licensed to practice in California (license number 847899) 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 1871076893.

Contact Information

	Kelly Pywtorak, RDN
	1330 Las Tablas Rd, Templeton, CA 93465-9758
	(805) 542-6700
	(805) 542-6791

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Pywtorak
Gender	Female
Speciality	Dietitian, Registered
Location	1330 Las Tablas Rd, Templeton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871076893
Provider Enumeration Date: 09/14/2018
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 6507300704
Enrollment ID: I20240628001582

Medical Identifiers

Medical identifiers for Kelly Pywtorak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871076893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	847899 (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. Kelly Pywtorak allows following entities to bill medicare on her behalf.

Provider Name	Community Health Centers Of The Central Coast Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161

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. Kelly Pywtorak 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
Kelly Pywtorak, RDN 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8030	Kelly Pywtorak, RDN 1330 Las Tablas Rd, Templeton, CA 93465-9758 Ph: (805) 542-6700

Reviews and Comments

Dietitian, Registered in Templeton, CA

Mrs. Whitney Danenhauer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1080 Tishlini Ln, Templeton, CA 93465 Phone: 805-769-6305
Joanna Margaret Cooper, MPH RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Posada Ln Ste C, Templeton, CA 93465 Phone: 805-434-1166 Fax: 805-434-3279
Mrs. Crystal Corcoran, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 295 Posada Ln Ste C, Templeton, CA 93465 Phone: 805-434-1166
Ms. Wendy Louise Minarik, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Las Tablas Rd, Dept Of Food & Nutrition, Templeton, CA 93465 Phone: 805-434-4546 Fax: 805-434-4346

Kelly Pywtorak, RDN - Medicare Dietitian in Templeton, CA