Mary Louise Burbank, RD in Middletown, CT - Medicare Dietitian, Registered Provider

Mary Louise Burbank, RD is a medicare enrolled "Dietitian, Registered" provider in Middletown, Connecticut. Her current practice location is 540 Saybrook Rd Ste 100, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 287-1078.

Mary Louise Burbank is licensed to practice in Connecticut (license number 001431) 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 1922647601.

Contact Information

	Mary Louise Burbank, RD
	540 Saybrook Rd Ste 100, Middletown, CT 06457-4760
	(860) 287-1078
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Louise Burbank
Gender	Female
Speciality	Dietitian, Registered
Location	540 Saybrook Rd Ste 100, 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: 1922647601
Provider Enumeration Date: 12/30/2019
Last Update Date: 12/30/2019

Medicare PECOS Information:

PECOS PAC ID: 7113322520
Enrollment ID: I20210824001064

Medical Identifiers

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

Identifier	Type	State	Issuer
1922647601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	001431 (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. Mary Louise Burbank allows following entities to bill medicare on her behalf.

Provider Name	Mhs Primary Care, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740666312 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945

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 Louise Burbank 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 Louise Burbank, RD 179 Russell St, Middletown, CT 06457-4323 Ph: () -	Mary Louise Burbank, RD 540 Saybrook Rd Ste 100, Middletown, CT 06457-4760 Ph: (860) 287-1078

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 Louise Burbank, RD - Medicare Dietitian in Middletown, CT