Mrs Miriam Rebecca Gross, MS, RD in Highland Park, NJ - Medicare Dietitian, Registered Provider

Mrs Miriam Rebecca Gross, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Highland Park, New Jersey. Her current practice location is 1615 Central Ave, Highland Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (818) 633-2260.

Mrs Miriam Rebecca Gross is licensed to practice in * (Not Available) (license number ) 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 1093017568.

Contact Information

	Mrs Miriam Rebecca Gross, MS, RD
	1615 Central Ave, Highland Park, NJ 08904-3708
	(818) 633-2260
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Miriam Rebecca Gross
Gender	Female
Speciality	Dietitian, Registered
Location	1615 Central Ave, Highland Park, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093017568
Provider Enumeration Date: 12/03/2010
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8426495706
Enrollment ID: I20240321003687

Medical Identifiers

Medical identifiers for Mrs Miriam Rebecca Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093017568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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 Miriam Rebecca Gross allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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 Miriam Rebecca Gross 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 Miriam Rebecca Gross, MS, RD 1615 Central Ave, Highland Park, NJ 08904-3708 Ph: (818) 633-2260	Mrs Miriam Rebecca Gross, MS, RD 1615 Central Ave, Highland Park, NJ 08904-3708 Ph: (818) 633-2260

Reviews and Comments

Dietitian, Registered in Highland Park, NJ

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Mrs Miriam Rebecca Gross, MS, RD - Medicare Dietitian in Highland Park, NJ