Mrs Susan Elizabeth Boyd, MS,RD,LDN,CDOE is a medicare enrolled "Dietitian, Registered" provider in Pascoag, Rhode Island. Her current practice location is
759 Steere Farm Rd, Pascoag, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 568-8434.
Mrs Susan Elizabeth Boyd is licensed to practice in Rhode Island (license number LDN00114) 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 1164698791.
Healthcare Provider's Profile
| Full Name | Mrs Susan Elizabeth Boyd |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 759 Steere Farm Rd, Pascoag, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164698791
- Provider Enumeration Date: 05/04/2008
- Last Update Date: 05/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 2163582628
- Enrollment ID: I20081114000070
Medical Identifiers
Medical identifiers for Mrs Susan Elizabeth Boyd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164698791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LDN00114 (Rhode Island) | 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 Susan Elizabeth Boyd allows following entities to bill medicare on her behalf.
| Provider Name | Granite Harbor Business Development Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962685263
PECOS PAC ID: 0446409551
Enrollment ID: O20121005000087 |
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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 Susan Elizabeth Boyd 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 |
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Mrs Susan Elizabeth Boyd, MS,RD,LDN,CDOE
759 Steere Farm Rd,
Pascoag, RI 02859-4008
Ph: (401) 568-8434 | Mrs Susan Elizabeth Boyd, MS,RD,LDN,CDOE
759 Steere Farm Rd,
Pascoag, RI 02859-4008
Ph: (401) 568-8434 |
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