Mrs Sandra Lynn Audley, MS, RD, LD in Cleveland, OH - Medicare Dietitian, Registered Provider

Mrs Sandra Lynn Audley, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Cleveland, Ohio. Her current practice location is 4514 Bader Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 832-1311.

Mrs Sandra Lynn Audley is licensed to practice in Ohio (license number 4532) 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 1073590063.

Contact Information

	Mrs Sandra Lynn Audley, MS, RD, LD
	4514 Bader Ave, Cleveland, OH 44109-5266
	(216) 832-1311
	(216) 741-8705

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Sandra Lynn Audley
Gender	Female
Speciality	Dietitian, Registered
Location	4514 Bader Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073590063
Provider Enumeration Date: 12/29/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0446278402
Enrollment ID: I20051108000599

Medical Identifiers

Medical identifiers for Mrs Sandra Lynn Audley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073590063	NPI	-	NPPES
000000379531	Other	OH	ANTHEM BLUE CROSS/SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	4532 (Ohio)	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 Sandra Lynn Audley allows following entities to bill medicare on her behalf.

Provider Name	Openloop Healthcare Partners Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20211004002495

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 Sandra Lynn Audley 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 Sandra Lynn Audley, MS, RD, LD 4514 Bader Ave, Cleveland, OH 44109-5266 Ph: (216) 832-1311	Mrs Sandra Lynn Audley, MS, RD, LD 4514 Bader Ave, Cleveland, OH 44109-5266 Ph: (216) 832-1311

Reviews and Comments

Dietitian, Registered in Cleveland, OH

Ms. Mary Colleen Rath, R.D., L.D., CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, M17, Cleveland, OH 44195 Phone: 216-444-6986
Diane L Nowak, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Mrs. Andrea Kozak Jevenn, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Linda M Anderson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Bernisha Player Roulette, RD, CDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 E 107th St, Cleveland, OH 44106 Phone: 318-936-5001
Marley Elizabeth Siegel, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Neha R Parekh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273

Mrs Sandra Lynn Audley, MS, RD, LD - Medicare Dietitian in Cleveland, OH