Mrs Jessica Crandall, RD in Hartford, CT - Medicare Dietitian, Registered Provider

Mrs Jessica Crandall, RD is a medicare enrolled "Dietitian, Registered" provider in Hartford, Connecticut. Her current practice location is 80 Seymour St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-2697.

Mrs Jessica Crandall is licensed to practice in Connecticut (license number 000855) 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 1902136799.

Contact Information

	Mrs Jessica Crandall, RD
	80 Seymour St, Hartford, CT 06102-8000
	(860) 545-2697
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica Crandall
Gender	Female
Speciality	Dietitian, Registered
Location	80 Seymour St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902136799
Provider Enumeration Date: 12/30/2009
Last Update Date: 12/30/2009

Medicare PECOS Information:

PECOS PAC ID: 2062544026
Enrollment ID: I20100712000067

Medical Identifiers

Medical identifiers for Mrs Jessica Crandall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902136799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	000855 (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 Jessica Crandall allows following entities to bill medicare on her behalf.

Provider Name	Hartford Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Provider Name	Hartford Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

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 Jessica Crandall 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 Jessica Crandall, RD 80 Seymour St, Hartford, CT 06102-8000 Ph: (860) 545-2697	Mrs Jessica Crandall, RD 80 Seymour St, Hartford, CT 06102-8000 Ph: (860) 545-2697

Reviews and Comments

Dietitian, Registered in Hartford, CT

Ann T Zogbaum, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-545-2697 Fax: 860-545-3765
Mary R Noon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital Food & Nutrition Services, Hartford, CT 06102 Phone: 860-545-2604
Mrs. Lorraine Dawn Reardon, RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21 Grand Street, Hartford, CT 06106 Phone: 860-550-7500 Fax: 860-550-7501
Janice D Cannon, MS,RD,CD-N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-545-2697
Joshua L Spieker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford Hospital, Hartford, CT 06102 Phone: 860-545-2697 Fax: 860-545-3765
Cynthia T. Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital Food & Nutrition Services, Hartford, CT 06102 Phone: 860-545-2604
Mrs. Leila A. Bruno, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1537

Mrs Jessica Crandall, RD - Medicare Dietitian in Hartford, CT