Nia Joelle Wine, RDN CDN in New York, NY - Medicare Dietitian, Registered Provider

Nia Joelle Wine, RDN CDN is a medicare enrolled "Dietitian, Registered" provider in New York, New York. Her current practice location is 33 W 19th St Ste 405, New York, New York. You can reach out to her office (for appointments etc.) via phone at (888) 669-6163.

Nia Joelle Wine is licensed to practice in New York (license number 86062582) 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 1063905800.

Contact Information

	Nia Joelle Wine, RDN CDN
	33 W 19th St Ste 405, New York, NY 10011-4333
	(888) 669-6163
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nia Joelle Wine
Gender	Female
Speciality	Dietitian, Registered
Location	33 W 19th St Ste 405, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063905800
Provider Enumeration Date: 06/06/2018
Last Update Date: 06/06/2018

Medicare PECOS Information:

PECOS PAC ID: 0840678041
Enrollment ID: I20220531001619

Medical Identifiers

Medical identifiers for Nia Joelle Wine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063905800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86062582 (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. Nia Joelle Wine allows following entities to bill medicare on her behalf.

Provider Name	New York University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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. Nia Joelle Wine 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
Nia Joelle Wine, RDN CDN 300 Noel St, Staten Island, NY 10312-5928 Ph: (718) 663-9241	Nia Joelle Wine, RDN CDN 33 W 19th St Ste 405, New York, NY 10011-4333 Ph: (888) 669-6163

Reviews and Comments

Dietitian, Registered in New York, NY

Mrs. Laura Manning, R.D., C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1625, New York, NY 10029 Phone: 212-241-9426
Erika Jacobson, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 917-241-5633
Danielle Stark, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 205 W 88th St Apt 6d, New York, NY 10024 Phone: 973-954-0666
Ms. Ellen Schranz, MS, MBA, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1067, New York, NY 10029 Phone: 212-241-4228
Michelle Mock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 East 68th Street, New York, NY 10065 Phone: 212-746-3520 Fax: 212-746-8577
Limor Baum, M.S., R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 393 W End Ave Apt 11e, New York, NY 10024 Phone: 212-874-9467
Mrs. Shara Wagowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, Box 92, New York, NY 10065 Phone: 212-759-6999

Nia Joelle Wine, RDN CDN - Medicare Dietitian in New York, NY