Mrs Andrea Rose Bowman-defino, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Perrysburg, New York. Her current practice location is
12234 Route 39, Perrysburg, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 532-1268.
Mrs Andrea Rose Bowman-defino is licensed to practice in New York (license number 009760) 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 1053999672.
Healthcare Provider's Profile
Full Name | Mrs Andrea Rose Bowman-defino |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 12234 Route 39, Perrysburg, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053999672
- Provider Enumeration Date: 04/02/2021
- Last Update Date: 04/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901344845
- Enrollment ID: I20240809003551
Medical Identifiers
Medical identifiers for Mrs Andrea Rose Bowman-defino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053999672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 009760 (New York) | 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 Rose Bowman-defino allows following entities to bill medicare on her behalf.
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
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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 Rose Bowman-defino 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 Rose Bowman-defino, RD, CDN 56 Martha Pl, Hamburg, NY 14075-5222 Ph: (716) 583-2676 | Mrs Andrea Rose Bowman-defino, RD, CDN 12234 Route 39, Perrysburg, NY 14129-9712 Ph: (716) 532-1268 |
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