Ms Kennie Rivera Russe, RDN, LND is a medicare enrolled "Dietitian, Registered" provider in Manati, Puerto Rico. Her current practice location is
Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 562-1099.
Ms Kennie Rivera Russe is licensed to practice in Puerto Rico (license number 1699) 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 1518692532.
Healthcare Provider's Profile
Full Name | Ms Kennie Rivera Russe |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, Puerto Rico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518692532
- Provider Enumeration Date: 07/22/2022
- Last Update Date: 07/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577931765
- Enrollment ID: I20221122002642
Medical Identifiers
Medical identifiers for Ms Kennie Rivera Russe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518692532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1699 (Puerto Rico) | Primary |
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 Kennie Rivera Russe 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 Kennie Rivera Russe, RDN, LND Condominio Cadiz 253 Calle Chile Apt. 4c, San Juan, PR 00917 Ph: (787) 562-1099 | Ms Kennie Rivera Russe, RDN, LND Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, PR 00674 Ph: (787) 562-1099 |
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