Krista Ali Fedorchak, MS, RDN, CDN in Ithaca, NY - Medicare Dietitian, Registered Provider

Krista Ali Fedorchak, MS, RDN, CDN is a medicare enrolled "Dietitian, Registered" provider in Ithaca, New York. Her current practice location is 310 Taughannock Blvd, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at (607) 252-3590.

Krista Ali Fedorchak is licensed to practice in * (Not Available) (license number 86046225) 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 1497271167.

Contact Information

	Krista Ali Fedorchak, MS, RDN, CDN
	310 Taughannock Blvd, Ithaca, NY 14850-3251
	(607) 252-3590
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krista Ali Fedorchak
Gender	Female
Speciality	Dietitian, Registered
Location	310 Taughannock Blvd, Ithaca, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497271167
Provider Enumeration Date: 08/15/2017
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4183076565
Enrollment ID: I20240122002510

Medical Identifiers

Medical identifiers for Krista Ali Fedorchak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497271167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86046225 (* (Not Available))	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. Krista Ali Fedorchak allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Krista Ali Fedorchak 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
Krista Ali Fedorchak, MS, RDN, CDN 310 Taughannock Blvd, Ithaca, NY 14850-3251 Ph: () -	Krista Ali Fedorchak, MS, RDN, CDN 310 Taughannock Blvd, Ithaca, NY 14850-3251 Ph: (607) 252-3590

Reviews and Comments

Dietitian, Registered in Ithaca, NY

Alexandra Marie Clinton, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 108 N Plain St, Ithaca, NY 14850 Phone: 607-227-5529
Ms. Nancy Jamison Peckenpaugh, MSED RD CDN CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1216 Trumansburg Road, Ithaca, NY 14850 Phone: 607-272-1297 Fax: 607-272-2366
Tamara Arleen Reynolds, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858 Fax: 607-257-1718
Nancy J Peckenpaugh Nutrition Pllc Dietitian Medicare: Medicare Enrolled Practice Location: 1216 Trumansburg Rd, Ithaca, NY 14850 Phone: 607-272-1297 Fax: 607-272-2366
Mrs. Bonita Ann Davis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 681 Snyder Hill Rd, Ithaca, NY 14850 Phone: 607-277-2943
Ms. Lauren J. Marino, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 Old Taughannock Blvd, Ithaca, NY 14850 Phone: 607-252-3590
Christina M Figueroa, MS, RD, CSSD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 110 Ho Plz, Ithaca, NY 14853 Phone: 512-865-9311

Krista Ali Fedorchak, MS, RDN, CDN - Medicare Dietitian in Ithaca, NY