My Island Nutrition is a medicare enrolled "Clinic/center" provider in Levittown, New York. Their current practice location is
107 Sprucewood Dr, Levittown, New York. You can reach out to their office (for appointments etc.) via phone at
(516) 287-0364.
My Island Nutrition is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. My Island Nutrition
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255089264.
Healthcare Provider's Profile
Full Name | My Island Nutrition |
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Type | Facility |
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Speciality | Clinic/center |
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Location | 107 Sprucewood Dr, Levittown, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255089264
- Provider Enumeration Date: 03/17/2022
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426432535
- Enrollment ID: O20220908000777
Medical Identifiers
Medical identifiers for My Island Nutrition such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255089264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
My Island Nutrition acts as a billing entity for following providers:
Provider Name | Bryan Thomas Stengel |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1649936154 PECOS PAC ID: 9335523448 Enrollment ID: I20220908000847 |
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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. My Island Nutrition 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 |
My Island Nutrition 107 Sprucewood Dr, Levittown, NY 11756-3813 Ph: (516) 287-0364 | My Island Nutrition 107 Sprucewood Dr, Levittown, NY 11756-3813 Ph: (516) 287-0364 |
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