Mrs Renee Mckenna, RDN, CSP, IBCLC in Santa Rosa, CA - Medicare Dietitian, Registered Provider

Mrs Renee Mckenna, RDN, CSP, IBCLC is a medicare enrolled "Dietitian, Registered" provider in Santa Rosa, California. Her current practice location is 1165 Montgomery Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 525-5327.

Mrs Renee Mckenna is licensed to practice in California (license number 974191) 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 1952953093.

Contact Information

	Mrs Renee Mckenna, RDN, CSP, IBCLC
	1165 Montgomery Dr, Santa Rosa, CA 95405-4801
	(707) 525-5327
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Renee Mckenna
Gender	Female
Speciality	Dietitian, Registered
Location	1165 Montgomery Dr, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952953093
Provider Enumeration Date: 07/09/2019
Last Update Date: 08/08/2019

Medicare PECOS Information:

PECOS PAC ID: 8426385600
Enrollment ID: I20190809002975

Medical Identifiers

Medical identifiers for Mrs Renee Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952953093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	974191 (California)	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 Renee Mckenna allows following entities to bill medicare on her behalf.

Provider Name	Providence Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Renee Mckenna 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 Renee Mckenna, RDN, CSP, IBCLC 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 525-5327	Mrs Renee Mckenna, RDN, CSP, IBCLC 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 525-5327

Reviews and Comments

Dietitian, Registered in Santa Rosa, CA

Ms. Jessica Anne Rutland, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4787
Sari Bornstein, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-3506
Mary Mcdonell, RD, RN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 365 Tesconi Cir Ste B, Santa Rosa, CA 95401 Phone: 707-575-6043
Kathryn J Boyd, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4167
Cali Kent, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3920 Millbrook Dr, Santa Rosa, CA 95404 Phone: 707-575-3324 Fax: 707-575-3324
Ms. Gail Prosser, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3925 Old Redwood Hwy, Dept Of Pediatrics, Santa Rosa, CA 95403 Phone: 707-566-5358 Fax: 707-566-5292
Guadalupe Orihuela, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3230 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-477-4093

Mrs Renee Mckenna, RDN, CSP, IBCLC - Medicare Dietitian in Santa Rosa, CA