Ms Carol Elissa Reyes, RDN, LD in San Angelo, TX - Medicare Dietitian, Registered Provider

Ms Carol Elissa Reyes, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in San Angelo, Texas. Her current practice location is 120 E Beauregard Ave, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 658-1511.

Ms Carol Elissa Reyes is licensed to practice in Texas (license number DT84073) 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 1114488137.

Contact Information

	Ms Carol Elissa Reyes, RDN, LD
	120 E Beauregard Ave, San Angelo, TX 76903-5919
	(325) 658-1511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Carol Elissa Reyes
Gender	Female
Speciality	Dietitian, Registered
Location	120 E Beauregard Ave, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114488137
Provider Enumeration Date: 03/31/2019
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4486989019
Enrollment ID: I20190718000847

Medical Identifiers

Medical identifiers for Ms Carol Elissa Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114488137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT84073 (Texas)	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 Carol Elissa Reyes allows following entities to bill medicare on her behalf.

Provider Name	Shannon Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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 Carol Elissa Reyes 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 Carol Elissa Reyes, RDN, LD 2625 Palo Duro Dr, San Angelo, TX 76904-7564 Ph: () -	Ms Carol Elissa Reyes, RDN, LD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 658-1511

Reviews and Comments

Dietitian, Registered in San Angelo, TX

Royanne Mattick Greenwood, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 612 S Irene St, San Angelo, TX 76903 Phone: 325-658-6571
Megan Webb, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-659-7116
Tamara M Hargett, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 301 W Beauregard Ave, Suite 202a, San Angelo, TX 76903 Phone: 325-651-2104 Fax: 877-320-9707
Mrs. Emily Nichole Bartz, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166
Nicole Lusk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-8532
Odomrd Dietitian Consultants Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2533 Colorado Ave, San Angelo, TX 76904 Phone: 325-262-2133

Ms Carol Elissa Reyes, RDN, LD - Medicare Dietitian in San Angelo, TX