Lisa Marie Keovongsa, RD, LDN - Medicare Dietitian in Arlington, MA

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Lisa Marie Keovongsa, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Arlington, Massachusetts. Her current practice location is 30 Standish Rd, Arlington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 430-9833.

Lisa Marie Keovongsa is licensed to practice in Massachusetts (license number 4706) 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 1750859286.

Contact Information

Lisa Marie Keovongsa, RD, LDN
30 Standish Rd,
Arlington, MA 02476-7069
(781) 430-9833
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisa Marie Keovongsa
GenderFemale
SpecialityDietitian, Registered
Location30 Standish Rd, Arlington, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750859286
  • Provider Enumeration Date: 11/02/2018
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476906314
  • Enrollment ID: I20240127000200

Medical Identifiers

Medical identifiers for Lisa Marie Keovongsa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750859286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 4706 (Massachusetts)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. Lisa Marie Keovongsa allows following entities to bill medicare on her behalf.
Provider NameActualize Counseling & Nutrition Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316571136
PECOS PAC ID: 2567815400
Enrollment ID: O20240127000165

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. Lisa Marie Keovongsa 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 AddressPractice Location Address
Lisa Marie Keovongsa, RD, LDN
30 Standish Rd,
Arlington, MA 02476-7069

Ph: (781) 430-9833		Lisa Marie Keovongsa, RD, LDN
30 Standish Rd,
Arlington, MA 02476-7069

Ph: (781) 430-9833

Reviews and Comments


Dietitian, Registered in Arlington, MA

Natalie Marsh, RD
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Phone: 801-885-5685    
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Phone: 781-643-4520    Fax: 781-643-4520
Vanessa Jeannette Beauregard,
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Phone: 781-999-4975    
Ms. Amy Gilman, R.D., L.D.N.
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Practice Location: 31 Everett St, Arlington, MA 02474
Phone: 857-363-8935    
Amanda Ruiz,
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Practice Location: 94 Pleasant St Ste 201, Arlington, MA 02476
Phone: 508-205-9595    
Sophia C Kamveris, DIETITIAN
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Practice Location: 22 Mill St, Suite 105, Arlington, MA 02476
Phone: 617-515-8984    Fax: 781-274-0269
Navigate Nutrition With Jaimie Winkler Llc
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Practice Location: 94 Pleasant St Ste 2, Arlington, MA 02476
Phone: 617-855-5095    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.