Ms Glory E Rodriguez, RD is a medicare enrolled "Nutritionist" provider in Dallas, Texas. Her current practice location is
8330 Lyndon B Johnson Fwy Ste B650, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 619-6921.
Ms Glory E Rodriguez is licensed to practice in Puerto Rico (license number 1311) 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 1235394271.
Healthcare Provider's Profile
| Full Name | Ms Glory E Rodriguez |
|---|
| Gender | Female |
|---|
| Speciality | Nutritionist |
|---|
| Location | 8330 Lyndon B Johnson Fwy Ste B650, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1235394271
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 02/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264666940
- Enrollment ID: I20190412001724
Medical Identifiers
Medical identifiers for Ms Glory E Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235394271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 896265 (Puerto Rico) | Secondary |
| 133N00000X | Nutritionist | 1311 (Puerto Rico) | 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 Glory E Rodriguez allows following entities to bill medicare on her behalf.
| Provider Name | N2n Nutrition, Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1972271740
PECOS PAC ID: 9931599214
Enrollment ID: O20211130001775 |
|---|
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 Glory E Rodriguez 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 Glory E Rodriguez, RD
10754 Midway Dr,
Frisco, TX 75035
Ph: (787) 559-6617 | Ms Glory E Rodriguez, RD
8330 Lyndon B Johnson Fwy Ste B650,
Dallas, TX 75243-1166
Ph: (469) 619-6921 |
Reviews and Comments