Ms Amanda Tourtellotte, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Geneva, New York. Her current practice location is
196 North St, Geneva, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 787-4283.
Ms Amanda Tourtellotte is licensed to practice in New York (license number 48 006968) 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 1003129909.
Healthcare Provider's Profile
| Full Name | Ms Amanda Tourtellotte |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 196 North St, Geneva, New York |
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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: 1003129909
- Provider Enumeration Date: 07/20/2010
- Last Update Date: 05/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870879851
- Enrollment ID: I20170405000706
Medical Identifiers
Medical identifiers for Ms Amanda Tourtellotte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003129909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 48 006968 (New York) | 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. Ms Amanda Tourtellotte allows following entities to bill medicare on her behalf.
| Provider Name | Rochester General Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644 |
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| Provider Name | Western New York Medical Practice Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598 |
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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. Ms Amanda Tourtellotte 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 |
|---|
Ms Amanda Tourtellotte, RD, CDN
196 North St,
Geneva, NY 14456-1651
Ph: (315) 787-4286 | Ms Amanda Tourtellotte, RD, CDN
196 North St,
Geneva, NY 14456-1651
Ph: (315) 787-4283 |
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