Mirelis Betances, RDN in Providence, RI - Medicare Dietitian, Registered Provider

Mirelis Betances, RDN is a medicare enrolled "Dietitian, Registered" provider in Providence, Rhode Island. Her current practice location is 1000 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 533-9100.

Mirelis Betances is licensed to practice in Rhode Island (license number LDN00850) 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 1043705635.

Contact Information

	Mirelis Betances, RDN
	1000 Eddy St, Providence, RI 02905-4739
	(401) 533-9100
	(401) 533-9105

Map and Direction

Healthcare Provider's Profile

Full Name	Mirelis Betances
Gender	Female
Speciality	Dietitian, Registered
Location	1000 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043705635
Provider Enumeration Date: 06/26/2018
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5799143699
Enrollment ID: I20230626001523

Medical Identifiers

Medical identifiers for Mirelis Betances such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043705635	NPI	-	NPPES
0614	Other	RI	NEIGHBORHOOD HEALTH
ES01788	Medicaid	RI
SB870	Other	RI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LDN00850 (Rhode Island)	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. Mirelis Betances allows following entities to bill medicare on her behalf.

Provider Name	Evolution Nutrition Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336265800 PECOS PAC ID: 2163668518 Enrollment ID: O20130410000052

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. Mirelis Betances 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
Mirelis Betances, RDN 450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914-5300 Ph: () -	Mirelis Betances, RDN 1000 Eddy St, Providence, RI 02905-4739 Ph: (401) 533-9100

Reviews and Comments

Dietitian, Registered in Providence, RI

Miss Megan Naquin, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 439 Benefit St, Providence, RI 02903 Phone: 401-262-0841
Jeannie Dorr, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115
Stephanie M O'donnell, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100
Mrs. Sarah E. W. Rambikur, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4847
Eliza Mellion, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Exchange St, Providence, RI 02903 Phone: 617-505-1804
Lifefit Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1 Augusta St, Providence, RI 02908 Phone: 401-585-4560 Fax: 845-840-1371
Amy Modracek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905 Phone: 401-331-1350 Fax: 401-277-3366

Mirelis Betances, RDN - Medicare Dietitian in Providence, RI