Mrs Tracy Bento, RD, CDCES, CSOWM in Eagle, ID - Medicare Dietitian, Registered Provider

Mrs Tracy Bento, RD, CDCES, CSOWM is a medicare enrolled "Dietitian, Registered - Nutrition, Obesity And Weight Management" provider in Eagle, Idaho. Her current practice location is 803 S Short Ln, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 954-0862.

Mrs Tracy Bento is licensed to practice in California (license number 949867) 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 1134284045.

Contact Information

	Mrs Tracy Bento, RD, CDCES, CSOWM
	803 S Short Ln, Eagle, ID 83616-4122
	(208) 954-0862
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracy Bento
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Obesity And Weight Management
Location	803 S Short Ln, Eagle, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134284045
Provider Enumeration Date: 12/22/2006
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4284016932
Enrollment ID: I20220728000569

Medical Identifiers

Medical identifiers for Mrs Tracy Bento such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134284045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1201X	Dietitian, Registered - Nutrition, Obesity And Weight Management	949867 (California)	Primary
133V00000X	Dietitian, Registered	949867 (California)	Secondary

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 Tracy Bento allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of Washington
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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 Tracy Bento 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 Tracy Bento, RD, CDCES, CSOWM 803 S Short Ln, Eagle, ID 83616-4122 Ph: (208) 954-0862	Mrs Tracy Bento, RD, CDCES, CSOWM 803 S Short Ln, Eagle, ID 83616-4122 Ph: (208) 954-0862

Reviews and Comments

Dietitian, Registered in Eagle, ID

Balanced Bites Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 803 S Short Ln, Eagle, ID 83616 Phone: 208-954-0862 Fax: 208-668-8871
Kirsten Ceily Thomas, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 110, Eagle, ID 83616 Phone: 208-274-9580
Biyu Yang, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4727 W Maricopa Dr, Eagle, ID 83616 Phone: 949-698-8622
Idaho Nutrition Associates, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1013 E Winding Creek Dr Ste 102, Eagle, ID 83616 Phone: 208-250-5657
Maryanne Hartman Cunningham, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 735 W Watersford Dr, Eagle, ID 83616 Phone: 208-867-1763
Deena M Lajoie, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3797 N Croft Way, Eagle, ID 83616 Phone: 208-250-5657

Mrs Tracy Bento, RD, CDCES, CSOWM - Medicare Dietitian in Eagle, ID