Leddy Wilma Mezarina, RDN, CDN in Forest Hills, NY - Medicare Dietitian, Registered Provider

Leddy Wilma Mezarina, RDN, CDN is a medicare enrolled "Dietitian, Registered" provider in Forest Hills, New York. Her current practice location is 11835 Queens Blvd Ste 400, Forest Hills, New York. You can reach out to her office (for appointments etc.) via phone at (929) 307-0050.

Leddy Wilma Mezarina is licensed to practice in New York (license number 009458-01) 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 1619643343.

Contact Information

	Leddy Wilma Mezarina, RDN, CDN
	11835 Queens Blvd Ste 400, Forest Hills, NY 11375-7211
	(929) 307-0050
	(888) 494-2097

Map and Direction

Healthcare Provider's Profile

Full Name	Leddy Wilma Mezarina
Gender	Female
Speciality	Dietitian, Registered
Location	11835 Queens Blvd Ste 400, Forest Hills, 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: 1619643343
Provider Enumeration Date: 08/22/2021
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9638550007
Enrollment ID: I20220715001511

Medical Identifiers

Medical identifiers for Leddy Wilma Mezarina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619643343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	009458-01 (New York)	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. Leddy Wilma Mezarina allows following entities to bill medicare on her behalf.

Provider Name	Naz Maduro Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013681063 PECOS PAC ID: 5799182028 Enrollment ID: O20210929000256

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. Leddy Wilma Mezarina 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
Leddy Wilma Mezarina, RDN, CDN 11835 Queens Blvd Ste 400, Forest Hills, NY 11375-7211 Ph: (929) 307-0050	Leddy Wilma Mezarina, RDN, CDN 11835 Queens Blvd Ste 400, Forest Hills, NY 11375-7211 Ph: (929) 307-0050

Reviews and Comments

Dietitian, Registered in Forest Hills, NY

Naz Maduro Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 11835 Queens Blvd Ste 400, Forest Hills, NY 11375 Phone: 929-307-0050
Alissa Lewis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10915 Queens Blvd, 2g, Forest Hills, NY 11375 Phone: 516-319-9902
Kueiting Alice Ma, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10025 Queens Blvd, 7hh, Forest Hills, NY 11375 Phone: 917-710-7781
Michelle Routhenstein, MS RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6911 Yellowstone Blvd Apt A67, Forest Hills, NY 11375 Phone: 201-403-7678
Dara Bergen, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 11241 Queens Blvd, Suite 100, Forest Hills, NY 11375 Phone: 718-544-0770 Fax: 718-261-5522
Isabella Marina Elisabet Alessandrini, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10520 66th Ave Apt 4d, Forest Hills, NY 11375 Phone: 516-353-4469
Mrs. Miriam Frucht, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10240 67th Rd, Apt 1t, Forest Hills, NY 11375 Phone: 347-742-7658

Leddy Wilma Mezarina, RDN, CDN - Medicare Dietitian in Forest Hills, NY