Miss Christina Marie Fasulo, MS RD in Los Angeles, CA - Medicare Dietitian, Registered Provider

Miss Christina Marie Fasulo, MS RD is a medicare enrolled "Dietitian, Registered" provider in Los Angeles, California. Her current practice location is 100 Ucla Medical Plaza Suite 345, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 208-5400.

Miss Christina Marie Fasulo is licensed to practice in California (license number 86048802) 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 1770147829.

Contact Information

	Miss Christina Marie Fasulo, MS RD
	100 Ucla Medical Plaza Suite 345, Los Angeles, CA 90095-1804
	(310) 208-5400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Christina Marie Fasulo
Gender	Female
Speciality	Dietitian, Registered
Location	100 Ucla Medical Plaza Suite 345, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770147829
Provider Enumeration Date: 04/24/2019
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0648630665
Enrollment ID: I20230721001026

Medical Identifiers

Medical identifiers for Miss Christina Marie Fasulo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770147829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86048802 (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. Miss Christina Marie Fasulo allows following entities to bill medicare on her behalf.

Provider Name	The Regents Of The University Of California
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Miss Christina Marie Fasulo 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
Miss Christina Marie Fasulo, MS RD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Miss Christina Marie Fasulo, MS RD 100 Ucla Medical Plaza Suite 345, Los Angeles, CA 90095-1804 Ph: (310) 208-5400

Reviews and Comments

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Miss Christina Marie Fasulo, MS RD - Medicare Dietitian in Los Angeles, CA