Mr Nicholas Albert Berretta, RDN, CD in Bothell, WA - Medicare Dietitian, Registered Provider

Mr Nicholas Albert Berretta, RDN, CD is a medicare enrolled "Dietitian, Registered" provider in Bothell, Washington. His current practice location is 10634 E Riverside Dr Ste 250, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 949-7626.

Mr Nicholas Albert Berretta is licensed to practice in Washington (license number 60863913) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235796376.

Contact Information

	Mr Nicholas Albert Berretta, RDN, CD
	10634 E Riverside Dr Ste 250, Bothell, WA 98011-3759
	(425) 949-7626
	(425) 949-5413

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Nicholas Albert Berretta
Gender	Male
Speciality	Dietitian, Registered
Location	10634 E Riverside Dr Ste 250, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235796376
Provider Enumeration Date: 05/23/2019
Last Update Date: 06/11/2019

Medicare PECOS Information:

PECOS PAC ID: 8729520309
Enrollment ID: I20240611002011

Medical Identifiers

Medical identifiers for Mr Nicholas Albert Berretta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235796376	NPI	-	NPPES
1033254115	Medicaid	WA
1669938536	Medicaid	WA
1891802146	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	60863913 (Washington)	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. Mr Nicholas Albert Berretta allows following entities to bill medicare on his behalf.

Provider Name	Emily Program Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204

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. Mr Nicholas Albert Berretta 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
Mr Nicholas Albert Berretta, RDN, CD Po Box 12242, Seattle, WA 98102-0242 Ph: (509) 528-5011	Mr Nicholas Albert Berretta, RDN, CD 10634 E Riverside Dr Ste 250, Bothell, WA 98011-3759 Ph: (425) 949-7626

Reviews and Comments

Dietitian, Registered in Bothell, WA

Melinda Yunker, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10808 Ne 145th St, Bothell, WA 98011 Phone: 206-296-9787 Fax: 206-296-9826
Savina Pisan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4026 224th St Se # 6, Bothell, WA 98021 Phone: 920-840-3119
Elizabeth S Kraft, MSN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12610 Ne 180th St Apt Cc202, Bothell, WA 98011 Phone: 603-333-8648
Ashley Hensarling, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18708 126th Ave Ne Apt 2603, Bothell, WA 98011 Phone: 760-220-1298
Emily Anne Larose, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10808 Ne 145th St, Bothell, WA 98011 Phone: 206-296-9813
Kerry Lee, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20324 Bothell Everett Hwy Apt F302, Bothell, WA 98012 Phone: 214-714-1912

Mr Nicholas Albert Berretta, RDN, CD - Medicare Dietitian in Bothell, WA