Mikaela Leary Burns, RD in Emeryville, CA - Medicare Dietitian, Registered Provider

Mikaela Leary Burns, RD is a medicare enrolled "Dietitian, Registered" provider in Emeryville, California. Her current practice location is 6121 Hollis St, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at (831) 334-2313.

Mikaela Leary Burns is licensed to practice in California (license number 86132853) 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 1396320743.

Contact Information

	Mikaela Leary Burns, RD
	6121 Hollis St, Emeryville, CA 94608-2077
	(831) 334-2313
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaela Leary Burns
Gender	Female
Speciality	Dietitian, Registered
Location	6121 Hollis St, Emeryville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396320743
Provider Enumeration Date: 03/16/2021
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5698129013
Enrollment ID: I20231003002812

Medical Identifiers

Medical identifiers for Mikaela Leary Burns such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396320743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	LDN01067 (Rhode Island)	Secondary
133V00000X	Dietitian, Registered	86132853 (California)	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. Mikaela Leary Burns allows following entities to bill medicare on her behalf.

Provider Name	Lpch Medical Group Div Of Lucile
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Mikaela Leary Burns 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
Mikaela Leary Burns, RD 6121 Hollis St Ste 2, Emeryville, CA 94608-2078 Ph: (510) 587-9600	Mikaela Leary Burns, RD 6121 Hollis St, Emeryville, CA 94608-2077 Ph: (831) 334-2313

Reviews and Comments

Dietitian, Registered in Emeryville, CA

Rebecca Rose Long, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1465 65th St Apt 429, Emeryville, CA 94608 Phone: 208-401-4695
Alhambra Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 53rd St, Emeryville, CA 94608 Phone: 408-337-2280 Fax: 510-495-1116
Juan Carlo Alhambra, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1025 53rd St, Emeryville, CA 94608 Phone: 408-337-2280 Fax: 510-495-1116
Helen Lee, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6121 Hollis St Ste 2, Emeryville, CA 94608 Phone: 510-587-9600
Marni Weinstock, MPA, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1122 40th St, Apt #213, Emeryville, CA 94608 Phone: 510-516-6831
The Mindful Chow Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6400 Christie Ave Ste 1000, Emeryville, CA 94608 Phone: 617-684-5999

Mikaela Leary Burns, RD - Medicare Dietitian in Emeryville, CA