Mercy K Edziah, MS, RD, CDCES in Newark, NJ - Medicare Dietitian, Registered Provider

Mercy K Edziah, MS, RD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Newark, New Jersey. Her current practice location is 654 Mount Prospect Ave Ste 302, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 207-2158.

Mercy K Edziah is licensed to practice in Illinois (license number 86020214) 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 1881152510.

Contact Information

	Mercy K Edziah, MS, RD, CDCES
	654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110
	(201) 207-2158
	(201) 604-4639

Map and Direction

Healthcare Provider's Profile

Full Name	Mercy K Edziah
Gender	Female
Speciality	Dietitian, Registered
Location	654 Mount Prospect Ave Ste 302, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881152510
Provider Enumeration Date: 03/12/2019
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6800139346
Enrollment ID: I20190523002286

Medical Identifiers

Medical identifiers for Mercy K Edziah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881152510	NPI	-	NPPES
1194284844	Other	NJ	ORGANIZATION NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86020214 (Illinois)	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. Mercy K Edziah allows following entities to bill medicare on her behalf.

Provider Name	Nutricultures Nutrition And Diabetes Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194284844 PECOS PAC ID: 5991048431 Enrollment ID: O20190523002204

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. Mercy K Edziah 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
Mercy K Edziah, MS, RD, CDCES 654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110 Ph: (201) 207-2158	Mercy K Edziah, MS, RD, CDCES 654 Mount Prospect Ave Ste 302, Newark, NJ 07104-3110 Ph: (201) 207-2158

Reviews and Comments

Dietitian, Registered in Newark, NJ

Sarah Stites, RD Dietitian Medicare: Medicare Enrolled Practice Location: 166 Lyons Ave, Newark, NJ 07112 Phone: 973-926-2884 Fax: 973-926-2978
Silvana Panfili, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-2444
Nada Mays, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 142 Lafayette St, Newark, NJ 07105 Phone: 929-318-5335
Ms. Josefina G Velez, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1160 Raymond Blvd, 4th Floor, Newark, NJ 07102 Phone: 973-639-5017 Fax: 973-596-4105
Gocopetra Care Consultant Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 170 Norwood St, Newark, NJ 07106 Phone: 201-491-9972 Fax: 973-324-2218
Nutricultures Dietitian Medicare: Medicare Enrolled Practice Location: 654 Mount Prospect Ave Ste 302, Newark, NJ 07104 Phone: 201-207-2158
Mrs. Rachel Ellen Teneralli, MS, RD, CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-4607 Fax: 973-926-6288

Mercy K Edziah, MS, RD, CDCES - Medicare Dietitian in Newark, NJ