Mrs Andrea Kozak Jevenn, RD in Cleveland, OH - Medicare Dietitian, Registered Provider

Mrs Andrea Kozak Jevenn, RD is a medicare enrolled "Dietitian, Registered" provider in Cleveland, Ohio. Her current practice location is 9500 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (800) 223-2273.

Mrs Andrea Kozak Jevenn is licensed to practice in Ohio (license number 5352) 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 1003918681.

Contact Information

	Mrs Andrea Kozak Jevenn, RD
	9500 Euclid Ave, Cleveland, OH 44195-0001
	(800) 223-2273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Andrea Kozak Jevenn
Gender	Female
Speciality	Dietitian, Registered
Location	9500 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003918681
Provider Enumeration Date: 09/02/2006
Last Update Date: 04/18/2012

Medicare PECOS Information:

PECOS PAC ID: 4183629280
Enrollment ID: I20060925000072

Medical Identifiers

Medical identifiers for Mrs Andrea Kozak Jevenn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003918681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	5352 (Ohio)	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. Mrs Andrea Kozak Jevenn allows following entities to bill medicare on her behalf.

Provider Name	The Cleveland Clinic Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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. Mrs Andrea Kozak Jevenn 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
Mrs Andrea Kozak Jevenn, RD 6000 W Creek Rd, Suite 10, Independence, OH 44131-2139 Ph: (800) 223-2273	Mrs Andrea Kozak Jevenn, RD 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (800) 223-2273

Reviews and Comments

Dietitian, Registered in Cleveland, OH

Ms. Mary Colleen Rath, R.D., L.D., CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, M17, Cleveland, OH 44195 Phone: 216-444-6986
Diane L Nowak, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Linda M Anderson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Bernisha Player Roulette, RD, CDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 E 107th St, Cleveland, OH 44106 Phone: 318-936-5001
Marley Elizabeth Siegel, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Neha R Parekh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273

Mrs Andrea Kozak Jevenn, RD - Medicare Dietitian in Cleveland, OH