Marla Joy Mungovan, RD LDN is a medicare enrolled "Nutritionist" provider in Worcester, Massachusetts. Her current practice location is
55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(747) 443-2491.
Marla Joy Mungovan is licensed to practice in * (Not Available) (license number ) 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 1245807189.
Healthcare Provider's Profile
| Full Name | Marla Joy Mungovan |
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| Gender | Female |
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| Speciality | Nutritionist |
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| Location | 55 Lake Ave N, Worcester, Massachusetts |
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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: 1245807189
- Provider Enumeration Date: 06/09/2021
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456729706
- Enrollment ID: I20221117003350
Medical Identifiers
Medical identifiers for Marla Joy Mungovan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245807189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | 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. Marla Joy Mungovan allows following entities to bill medicare on her behalf.
| Provider Name | Umass Memorial Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689760092
PECOS PAC ID: 6204745904
Enrollment ID: O20031126000444 |
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| Provider Name | Umass Memorial Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267 |
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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. Marla Joy Mungovan 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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Marla Joy Mungovan, RD LDN
Po Box 415348,
Boston, MA 02241-5348
Ph: (800) 225-8885 | Marla Joy Mungovan, RD LDN
55 Lake Ave N,
Worcester, MA 01655-0002
Ph: (747) 443-2491 |
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