Kristin Ann Leicht, RD in Oak Park, IL - Medicare Dietitian, Registered Provider

Kristin Ann Leicht, RD is a medicare enrolled "Dietitian, Registered" provider in Oak Park, Illinois. Her current practice location is 1048 Lake Street, Suite 300, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 606-2587.

Kristin Ann Leicht is licensed to practice in Illinois (license number 164004100) 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 1992897607.

Contact Information

	Kristin Ann Leicht, RD
	1048 Lake Street, Suite 300, Oak Park, IL 60301-1102
	(630) 606-2587
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Ann Leicht
Gender	Female
Speciality	Dietitian, Registered
Location	1048 Lake Street, Suite 300, Oak Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992897607
Provider Enumeration Date: 09/29/2006
Last Update Date: 11/12/2014

Medicare PECOS Information:

PECOS PAC ID: 4789651332
Enrollment ID: I20040913001238

Medical Identifiers

Medical identifiers for Kristin Ann Leicht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992897607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164004100 (Illinois)	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. Kristin Ann Leicht allows following entities to bill medicare on her behalf.

Provider Name	Revolution Ptwl Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222

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. Kristin Ann Leicht 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
Kristin Ann Leicht, RD 1048 Lake Street, Suite 300, Oak Park, IL 60301-1102 Ph: () -	Kristin Ann Leicht, RD 1048 Lake Street, Suite 300, Oak Park, IL 60301-1102 Ph: (630) 606-2587

Reviews and Comments

Dietitian, Registered in Oak Park, IL

Amy Carson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1114 Lake St, Oak Park, IL 60301 Phone: 708-383-1114
Miss Lily Beth Wawrzon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 965 Lake St, Oak Park, IL 60301 Phone: 708-902-4522
Molly Hodul, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 S Maple Ave, Oak Park, IL 60304 Phone: 708-660-3662
Rebekah Lynn Langford, RD, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 S Maple Ave, Oak Park, IL 60304 Phone: 708-660-2250
Ms. Caroline J Salozzo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 S Maple Ave, Oak Park, IL 60304 Phone: 708-660-2250
Ms. Kristen Beese Alfonsi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 643 N Ridgeland Ave, Oak Park, IL 60302 Phone: 708-769-9551
Ms. Samantha Gianakas, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 S Maple Ave, Oak Park, IL 60304 Phone: 708-660-6306

Kristin Ann Leicht, RD - Medicare Dietitian in Oak Park, IL