Leanna Tabatabaie, MS, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Moosic, Pennsylvania. Her current practice location is
532 Main St Ste 3, Moosic, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 457-2464.
Leanna Tabatabaie is licensed to practice in Pennsylvania (license number DN004448) 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 1457854150.
Healthcare Provider's Profile
| Full Name | Leanna Tabatabaie |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 532 Main St Ste 3, Moosic, Pennsylvania |
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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: 1457854150
- Provider Enumeration Date: 03/09/2018
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183976525
- Enrollment ID: I20181011002503
Medical Identifiers
Medical identifiers for Leanna Tabatabaie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457854150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DN004448 (Pennsylvania) | 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. Leanna Tabatabaie allows following entities to bill medicare on her behalf.
| Provider Name | Rd Of Nepa Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821579913
PECOS PAC ID: 3274885611
Enrollment ID: O20181011002447 |
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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. Leanna Tabatabaie 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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Leanna Tabatabaie, MS, RDN, LDN
532 Main St Ste 3,
Moosic, PA 18507-1001
Ph: (570) 457-2464 | Leanna Tabatabaie, MS, RDN, LDN
532 Main St Ste 3,
Moosic, PA 18507
Ph: (570) 457-2464 |
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