Mrs Erin Donovan, MS, RD, LD in Southlake, TX - Medicare Dietitian, Registered Provider

Mrs Erin Donovan, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Southlake, Texas. Her current practice location is 630 N Kimball Ave Ste 110, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 422-9180.

Mrs Erin Donovan is licensed to practice in Texas (license number DT80807) 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 1740568674.

Contact Information

	Mrs Erin Donovan, MS, RD, LD
	630 N Kimball Ave Ste 110, Southlake, TX 76092-6887
	(972) 422-9180
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Erin Donovan
Gender	Female
Speciality	Dietitian, Registered
Location	630 N Kimball Ave Ste 110, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740568674
Provider Enumeration Date: 07/26/2011
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6406231844
Enrollment ID: I20220921000440

Medical Identifiers

Medical identifiers for Mrs Erin Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740568674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT80807 (Texas)	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 Erin Donovan allows following entities to bill medicare on her behalf.

Provider Name	Nutriphasics, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982917126 PECOS PAC ID: 5991064487 Enrollment ID: O20180108002080

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 Erin Donovan 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 Erin Donovan, MS, RD, LD 400 Chisholm Pl Ste 100, Plano, TX 75075-6911 Ph: (972) 422-9180	Mrs Erin Donovan, MS, RD, LD 630 N Kimball Ave Ste 110, Southlake, TX 76092-6887 Ph: (972) 422-9180

Reviews and Comments

Dietitian, Registered in Southlake, TX

Jessica Julstedt Coffee, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1209 Timber Ct, Southlake, TX 76092 Phone: 817-366-4643
Mrs. Kara (rae) Rae Boswell, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 630 N Kimball Ave Ste 110, Southlake, TX 76092 Phone: 972-422-9180
Janice May, RDN, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1047 Summerplace Ln, Southlake, TX 76092 Phone: 817-905-7722
Mary Wilson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 620 E Southlake Blvd, Southlake, TX 76092 Phone: 214-623-6270
Anne-marie Alford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 771 E Southlake Blvd Ste 106, Southlake, TX 76092 Phone: 469-372-2022 Fax: 833-290-5413
Dr. Diane Bentley Rollins, PH.D., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1614 Heatherbrook Ct, Southlake, TX 76092 Phone: 817-481-5971
Kelly King, RD, LD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 N Kimball Ave Ste 221, Southlake, TX 76092 Phone: 817-518-7239

Mrs Erin Donovan, MS, RD, LD - Medicare Dietitian in Southlake, TX