Mrs Carolyn Mary Cordova, RD,MPH,CDE in Pueblo, CO - Medicare Dietitian, Registered Provider

Mrs Carolyn Mary Cordova, RD,MPH,CDE is a medicare enrolled "Dietitian, Registered" provider in Pueblo, Colorado. Her current practice location is 400 W 16th St, Parkview Medical Center, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 584-4358.

Mrs Carolyn Mary Cordova is licensed to practice in Colorado (license number 718076) 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 1649450941.

Contact Information

	Mrs Carolyn Mary Cordova, RD,MPH,CDE
	400 W 16th St, Parkview Medical Center, Pueblo, CO 81003-2745
	(719) 584-4358
	(719) 583-7304

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Carolyn Mary Cordova
Gender	Female
Speciality	Dietitian, Registered
Location	400 W 16th St, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649450941
Provider Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007

Medicare PECOS Information:

PECOS PAC ID: 2961876479
Enrollment ID: I20230324000583

Medical Identifiers

Medical identifiers for Mrs Carolyn Mary Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649450941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	718076 (Colorado)	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 Carolyn Mary Cordova allows following entities to bill medicare on her behalf.

Provider Name	Parkview Ancillary Services Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248

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 Carolyn Mary Cordova 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 Carolyn Mary Cordova, RD,MPH,CDE 400 W 16th St, Parkview Medical Center, Pueblo, CO 81003-2745 Ph: (719) 584-4358	Mrs Carolyn Mary Cordova, RD,MPH,CDE 400 W 16th St, Parkview Medical Center, Pueblo, CO 81003-2745 Ph: (719) 584-4358

Reviews and Comments

Dietitian, Registered in Pueblo, CO

Miss Emily Anne Kearney, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4994 Fax: 719-584-1074
Kathy Kay Jensen, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 78 Louis Nelson Rd, Pueblo, CO 81001 Phone: 719-369-0282
Carolyn Cardona, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3117 E Spaulding Ave, Unit 105, Pueblo, CO 81008 Phone: 719-592-3400
Abby Birch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Dartmouth Ave, Pueblo, CO 81005 Phone: 719-251-5757
Elinor Enderle, Dietitian Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Pueblo, CO 81003 Phone: 719-545-8240
Katelyn R Ihrig, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 405 W 15th St Ste 215, Pueblo, CO 81003 Phone: 719-584-7320
Mrs. Nanette Sarper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-557-5374 Fax: 719-557-4100

Mrs Carolyn Mary Cordova, RD,MPH,CDE - Medicare Dietitian in Pueblo, CO