Mrs Christine Nicole Koval, RDN is a medicare enrolled "Dietitian, Registered" provider in Oxford, Connecticut. Her current practice location is
35 Jem Woods Rd, Oxford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 415-6484.
Mrs Christine Nicole Koval is licensed to practice in Connecticut (license number 1600) 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 1962148007.
Healthcare Provider's Profile
Full Name | Mrs Christine Nicole Koval |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 35 Jem Woods Rd, Oxford, Connecticut |
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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: 1962148007
- Provider Enumeration Date: 05/11/2022
- Last Update Date: 05/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294178018
- Enrollment ID: I20240208003342
Medical Identifiers
Medical identifiers for Mrs Christine Nicole Koval such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962148007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1600 (Connecticut) | 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 Christine Nicole Koval allows following entities to bill medicare on her behalf.
Provider Name | Northeast Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
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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 Christine Nicole Koval 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 Christine Nicole Koval, RDN 7 River Bend Rd, Trumbull, CT 06611-3929 Ph: (203) 415-6484 | Mrs Christine Nicole Koval, RDN 35 Jem Woods Rd, Oxford, CT 06478-1594 Ph: (203) 415-6484 |
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