Mary Braisted, RDN CDN in Middletown, CT - Medicare Dietitian, Registered Provider

Mary Braisted, RDN CDN is a medicare enrolled "Dietitian, Registered" provider in Middletown, Connecticut. Her current practice location is 675 Main St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 347-6971.

Mary Braisted 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 1831846203.

Contact Information

	Mary Braisted, RDN CDN
	675 Main St, Middletown, CT 06457-2732
	(860) 347-6971
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Braisted
Gender	Female
Speciality	Dietitian, Registered
Location	675 Main St, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831846203
Provider Enumeration Date: 03/07/2022
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7517318850
Enrollment ID: I20240110004610

Medical Identifiers

Medical identifiers for Mary Braisted such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831846203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (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. Mary Braisted allows following entities to bill medicare on her behalf.

Provider Name	Community Health Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412

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. Mary Braisted 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
Mary Braisted, RDN CDN 180 Randolph Rd, Middletown, CT 06457-5605 Ph: () -	Mary Braisted, RDN CDN 675 Main St, Middletown, CT 06457-2732 Ph: (860) 347-6971

Reviews and Comments

Dietitian, Registered in Middletown, CT

Julia Tarbox, RD Dietitian Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6831
Cynthia Romero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 Town Brooke, Middletown, CT 06457 Phone: 575-642-0717
Nikki Santillo, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-2970
Samantha Oldman, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Road, 110, Middletown, CT 06457 Phone: 860-347-9167
Rachel Drake, MSN,RN,MS,RD, PNP-BC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 High St, Middletown, CT 06457 Phone: 860-759-3733
Ms. Elizabeth Joslow Archambault, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Saybrook Rd, Shoreline Surgical Associates Suite 110, Middletown, CT 06457 Phone: 860-347-9167 Fax: 860-347-1630
Rachel Kaunas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 534 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-6000

Mary Braisted, RDN CDN - Medicare Dietitian in Middletown, CT