Lisa Shettle, RDN CDN in Glastonbury, CT - Medicare Dietitian, Registered Provider

Lisa Shettle, RDN CDN is a medicare enrolled "Dietitian, Registered" provider in Glastonbury, Connecticut. Her current practice location is 65 Kelsey Ln, Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 916-2486.

Lisa Shettle is licensed to practice in Connecticut (license number 001685) 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 1740750835.

Contact Information

	Lisa Shettle, RDN CDN
	65 Kelsey Ln, Glastonbury, CT 06033-5040
	(860) 916-2486
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Shettle
Gender	Female
Speciality	Dietitian, Registered
Location	65 Kelsey Ln, Glastonbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740750835
Provider Enumeration Date: 11/30/2018
Last Update Date: 11/30/2018

Medicare PECOS Information:

PECOS PAC ID: 7416392212
Enrollment ID: I20240304000508

Medical Identifiers

Medical identifiers for Lisa Shettle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740750835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	001685 (Connecticut)	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 Shettle allows following entities to bill medicare on her behalf.

Provider Name	Optimal Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831968023 PECOS PAC ID: 6608211404 Enrollment ID: O20240304000432

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 Shettle 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
Lisa Shettle, RDN CDN 65 Kelsey Ln, Glastonbury, CT 06033-5040 Ph: (860) 916-2486	Lisa Shettle, RDN CDN 65 Kelsey Ln, Glastonbury, CT 06033-5040 Ph: (860) 916-2486

Reviews and Comments

Dietitian, Registered in Glastonbury, CT

Mr. Michael Joseph Ouellette, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 480 Naubuc Ave, Glastonbury, CT 06033 Phone: 860-494-2400 Fax: 860-494-2402
Cassandra Marie Neal, Dietitian Medicare: Medicare Enrolled Practice Location: 330 Western Blvd, Glastonbury, CT 06033 Phone: 860-346-2071
Ms. Therese Mcconnell Nuzzolo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Breeds Hill Rd, Nuzzolo Nutriton, Glastonbury, CT 06033 Phone: 860-888-9864
Resilient Nutrition Counseling Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3661 Hebron Ave, Glastonbury, CT 06033 Phone: 860-579-4300
Elizabeth Anne White, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2790 Main St, Glastonbury, CT 06033 Phone: 860-430-9922
Nutrition And Wellness Consulting, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave Ste 107, Glastonbury, CT 06033 Phone: 860-659-4656
Maria R Fill, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41b New London Tpke, Glastonbury, CT 06033 Phone: 860-916-3676

Lisa Shettle, RDN CDN - Medicare Dietitian in Glastonbury, CT